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/16 16;08 ALLWEST ENVIRONMENTAL (415)391-2008 Page 1 <br />Kr. <br />ED <br />N DATE RECEIVED <br />SO SEP z 8 2016 SAN .JOAQUIN COUNTY EHD LOG NUMBER <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />PERWISERVICES Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: vvww.sjgov.org/ehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: ACltNest Fnvironmentallnc. _BUSINESSIAGENCY: Env iron.MentaTConsultant <br />.— <br />ADDRESS: z141 7l4issios2--...- Street---, Ste zclo CITY/STATE2iP: San fraiici_sco, Cil <br />PHONE (1): 415-39.1-25.10 — _ 94uo <br />_ PHONE (2): 360-322-923. __ FAX OR E-MAIL: sara��_d[ esti,COYn. <br />Please allow 10 business days from date of application submittal for the records to be available, <br />Staff will contact you to arrange an appointment date and time to review the requested records. <br />j� CHECK BOX TO EXPEDITE REOUE - $13 E ASH OR CHECK ONLY) - REQUEST PROCESSED IN6USI ESS DAYS <br />SIGNATURE OF APPLICANT RMADATE <br />1. List up to ten addresses in the space ow, Se ct the type(s) of files from the list below by checki g the appropriate <br />box(es), At least one file type MUST be selected. Fax to 209 464-0138 or mail to the address indicated above. Address <br />ranges will not be accepted. Applications received after 3:00 pm will be processed the next business day. <br />2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted above. <br />3. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) <br />days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br />should be scheduled accordingly. <br />4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br />Future file reviews by the same applicant may require a $139 deposit prior to review. <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br />Electronic Information: ❑ List ❑ Map - Description: <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTg <br />HEALTH pEPARFILE <br />ADDRESS <br />FILES__ <br />EHD USE ONLY <br />—... <br />UNDERGROUND TANK ( <br />Street Name <br />CityCLEANUP <br />SITE (LOP) <br />CLCANUP SITE(7iLlie <br />Lewis Dr <br />Stockton <br />❑ CoNSuVLPOTHER <br />HAZAkEX)US WASTE <br />TIERED PERAdTTTE[I FR" <br />?%Clic Le ►vis Dr <br />Stockton <br />ACiOVEGROUND TANK <br />Q�/�Y <br />'11. �✓ <br />® UST (MONITORING / (REMOVAL) <br />I <br />' <br />-❑ <br />® HAZA.RODUs MATERIALS <br />I <br />16041 <br />TilCie Lewis Dr <br />Stockton <br />PWG <br />;�_ <br />® SP(LUF2ELEASE RESPONSE <br />SOLID WASTE FACILITY I VEHICLE <br />el <br />r -\ V <br />FOOD FA411.(TY <br />2625 <br />�Tiffie Lewis Dr <br />Stockton- <br />tocktonPOOL <br />Wn*Ea QURL^� <br />POOL/ SPA <br />® DAIRY <br />LAND USE APPLICATION SITES <br />SEPTIC PUMPER TRUCK J i <br />❑ fiCu6N�� <br />YARD / CHEMICAL TOILETS I <br />6 <br />IJ WASTEWA7EH TREATMENT PLANT <br />7 <br />HGWSING ABATEMENTABATEMENTCUPA <br />I <br />MOTEIJHOT£L <br />1 <br />CHICKEN RANCH / DOG KENNEL <br />--"`— '— <br />MEDIc:nL WncrE FACILITY <br />8 <br />CUPA•UST <br />E] TATfOOIBUDY PIF.P.CENf, <br />wASI"E TIRE I <br />9 <br />SOLO WASIi. <br />© COMPLAINT I <br />OTHER(PLEASE SPECIFY): <br />10 <br />I <br />Act'nWNTmc <br />E"XEO AREA - EHD USE ONLY— <br />❑ Records provided by Staff -PPR Complete, stafName: <br />received Time"Sep, 27.-2016- 3;16PV�No, 0061 <br />im <br />