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GT II V �® • 9965 'IN Wel bI0Z 'S '�EW.Fawil paA ! aI <br /> �1 <br /> it 1 v SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT 10- <br /> MAY 0 5 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www,sjgov.org/ehd <br /> ENVIRON TESERVICEALTH <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Sandra Maxfield __-, B_USINESSIAGENCY: Environmental Cost Management Inc. <br /> ADDRESS: 8488 Byron Highway CITY/STATE/ZIP: F3re0twond CA 94513 <br /> PHONE (1): 925-525-4149 PHONE (2). 925-679-1059 FACSIMILE: 714.Q.QU75$_.,._,___ <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrane an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUE. s 5F CA H R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT c� DATE <br /> Electronic Information: ❑ List❑ Map—Descrlp on: <br /> FILE ADDRESS END USE ONLY <br /> Street 10 Street Name I City Units <br /> 2' unit 2 f <br /> V011, <br /> /-A <br /> 4. Unit 3 I ' <br /> _5._�..,� <br /> S' W� A_E00 � V � ocK 2I-1 r Unit4 <br /> 7. unit 5 <br /> - r <br /> B, <br /> 9. <br /> 10. <br /> ❑Unit 6 <br /> Specific Data Range of Information Requested: From Tq,f 1190 to 14PIZiL Z e t y. <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> [;NPERGROUND TANX(UST)CLEANUP SME(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE F WlL TYNEHICLE ll/ �"7 <br /> I&OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE 1. 5 I L 11 ` <br /> u UNDERGROUND TANK(MONITORIMGIREMOVAL�( ❑Foo0 FACILITY ❑DAIRY ) j--) <br /> [ABOVEGROUND TANK DX E]CHICKEN RANCHI DOC KENNEL [jWASTEWATER TREATMENT PLANT <br /> M AZAFIDOU5 WASTEIHAZARDOUS MATERIALS/, ❑MOTELIHOTEL ❑PUMPER TRUCKIYAROICHEWCAL TOILETS <br /> ❑TIERED PERHrrrED FACILITY ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY$;DO AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. L(st UD to ten addre9pes in the space above. Select the typn(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�,lr tall 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 END records,please contact END at the number noted above. <br /> 3.. The END will notify the applicant if any END 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 END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. ""BOXED ASga.:. 1 7 USE ONLY" <br /> -14-Iu r JIn �3 <br /> ,V43P /P <br /> so .1! <br /> w; s m� <br /> n it <br /> JD 4 <br /> , <br /> EHD 4646or4 lj�•.tYry T�uu'Aq ^"�Zlo`6 �✓L'(,,J`t'it to F"-_ Q2811471,P',4O f�CTr�1i�gF,�G1�:01 J :WOJJ PC:CT 1,TIa7_CR-1HI.I <br />