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{ DATE RECEIVED 0 6 EHD LOG P7UMBFR •� <br /> SAN JOAQUIN COUNTY <br /> Q ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION ! <br /> APPLICANT: Alex Gavidia BUSINESS/AGENCY: Partner ESI <br /> ADDRESS: 1761 E. Garry Ave. CITY/STATE/ZIP:Santa Ana CA 92705 <br /> PHONE (1): 714-495-4741 PHONE(2): FACSIMILE: 949-534-0566 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will cdntact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$`125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT rQe¢� DATE 5-2-2014 <br /> Electronic Information:, ❑ List❑ Map— escription: I <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ❑Unit 1 <br /> (, 1. 2880 W. Grantline Rd. Tracy %4(\n(1A Nocos(o Lk3 <br /> UAL' 2. 2320 Tracy Blvd. Tracy e4MkA4 N)OWS p u,u43❑Unit 2 <br /> 3. <br /> 4. Unit3 j <br /> 6. `4 // l <br /> 6. Lia Unit 4 <br /> 7. 2 <br /> 8. ❑Unit 5 <br /> 9. <br /> 10. ❑Unit 6 <br /> Specific Date Range of Information Requested: From 1900 to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYIVEHICLE n <br /> THER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> YNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY \� <br /> BOVEGROUND TANK [—ICHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT y� <br /> AZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TIERED PERMITTED FACILITY OOLISPA ❑LAND USEAPPLICATION SITES <br /> ❑TAT oO1BODY PIERCING COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking 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$125 deposit prior to review. "*'BOXED AREA-EHD USE ONLY'*" <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 4/28114 <br />