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AMLI� D 56243217 KLEINFELDFJ� . PAGE 01/01 <br /> - EHD LOG NUMBER <br /> DATE�EREIM 2015 SAN JOAQUIN COUNTY . <br /> ENVIRONMENTAL HEALTH 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; Margaret Carroll BUSINESS/AGENCY:Kleirifelder <br /> ADDRESS: 620 West 16th Street,#F CITY(STATEIZIP:Long Beach, CA 90813 <br /> PHONE (1): 562-432-1696 PHONE(2): FACSIMILE:562-432-1796 <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 /> ❑CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BU51NESS DAYS <br /> SIGNATURE OF APPLICANT DATE February'l3,2015 <br /> Electron lc information: ❑ List[] Map— ascription: � . <br /> FILE ADDRESS EHD USE ONLY / <br /> Street# Street Name City ;[3Unit1 <br /> 1. 10849 Trinity Parkway Stockton // <br /> 2. 10858 Trinity Parkway Stockton 5[ N" W �W -Onit2 <br /> 3. 10940 Trinity Parkway Stockton w"" 5`( <br /> 4, VAIA �[]unit 3 <br /> 5. <br /> 6; aunit4 <br /> 7. Apolde�1�1fi1� ILr d I(0 <br /> 8, ❑units <br /> 9 1 <br /> 10. Munit e <br /> Specific Date Range of lnfonrOtien Requested: From All to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ©UNDERGROUND TANK(USTI CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> O OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ©UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOb FACILITY QDAIRY <br /> ®AEOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL Q WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS .❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMIcAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LARD USE APPLICATION SITES <br /> CA- <br /> El TATTooIBODY PIERCING O COMPLAINTIRESPONSE RECORDS QOTHER(PLEASESPECIM ` <br /> C,. <br /> . WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REvlEw: MONDAY-FRIDAY 8:00 Am-5:OOPM(EXCLUOING.HOUDAYS) <br /> 1. List uD 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 mall to the address lnt llcated ahove Address <br /> ranges will not be accepted.Appileatlons 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 atthe expense of Ilia applicant <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. " BOXED AREA-EHD USE ONLY-" <br /> & e In -1 (, Iob `:nr E2 <br /> ,t J14X U5 I FJjt6 6G I QW yo w ii 1 v V:d LD, <br /> ❑ Records provided by Staff-PPR Complete, Staff Name: <br /> Received Time Feb. 13, 2015 1 ;41PM No. 8126 09101114 <br />