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DAT IGEIVEDSAN JOAQUINCOiSSL8 'IN WdSZ OI §lOZ '61 '�4N"auil pan"I ID MAY 19 2015 ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 f=i`lVIRONNiEN-r,LrTig,',O.4'hone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd PEHrOIr/s1vlcEs PUBLIC RECORDS RELEASE APPLICATION APPLICANT: Sarah Sweeney BUSINESSIAGENCY: EMG ADDRESS: 222 Schilling Circle,Suite 275 CITYISTATEIZIP:Hunt Valley,MO 21031 PHONE (1): 410-789-6200 PHONE (2):. FACSIMILE:410-7e9-6220 Please allow 10 business days from date of application submittal for the records to be available. Staff will contact you to arrange an appointment date and time to review the requested records. ❑ CHECK BOX TO EXPEDITE REQUEST-513^err rrncu OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS SIGNATURE OF APPLICANT / r i DATE May 16,2015 Electronic Information: [:] List❑ Map—Description; _ FILE_A_D_D_RESS EHD USE ONLY Street# Street Name city ❑ Unit 1 1. 10858 Trinity Parkway Stockton l �� i 2, - fro ❑ Unit 2 J / 3, U ��1) 4, !�6 Unit 3 5. _ SITE MITIGATION s, _ ❑ Unit g. Unit 5 9. 10. ❑Unit 6 Specific Date Range of Information Requested; From 2004 to ENVIRONMENTAL HEALTH DEPARTMENT FILES ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE ❑OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE �(UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY ❑ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT ■❑HAZARDOUS WASTEIHAZARDOUS MATERIALS F1MOTEUHOTEL ❑PUMPER TRUCKIYAROICHEMICAL TOILETS ©TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES ❑TATToOIBODY PIERCINGI CCOMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209)464.0138 or mail to the address indicated above. Address ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. 2. For assistance in Identifying the nature and content of EHD records,please contact EHD at the number noted above. 3. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten(10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future file reviews by the same applicant may require a$125 deposit prior to review. *"BOXED AREA-EHD USE ONLY"r* lVbti.t�y. Vl�� F(te An� L n. lNm r (!7 _� �il✓li'k �Id' V't L4° ■ ❑ Records provided by Staff-PPR Complete. Staff Name: ■r ..... ,., .. 5m 119 �■