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.,5123/1,017 3:57 PM 15104392659 ,>12094640138 ® 1 <br />DATE RECEIVED EHD LOG NUMBER <br />. SAN .IOAQUIN COUNTY <br />RECEIVES ENVIRONMENTAL HEALTH DEPARTMENT <br />✓�'� 2��� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />EM/IRCKMENIAL HEALTH PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Courtney Lee BUSINESS/AGENCY: Partner ESI <br />ADDRESS: 111 Pine St #1750 CITY/STATEIZIP: San Francisco, CA 94111 <br />PHONE (1): 510-301-1399 PHONE (2): FACSIMILE: <br />Please allow 10 business days from date of application submittal for the records to be available. <br />Staff will contact you to arrange a ppointment date and time to review the requested records. <br />El CHECK BOX TO EXPEDITE REQUEST - $1 0 E (CASH C CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT_ DATE 01 / 23 / 2017 <br />WJ <br />Electronic information: ❑ List ❑ Map - Descriptiorf <br />FILE ADDRESS <br />EHO USE ONLY <br />❑ Records provided by Staff -PPR Complete. staff Name: <br />Street p <br />Street NameCi' CRY <br />t. <br />3, _ <br />West Oak SVeet Lodi - <br />unit 2 <br />—� ❑ Unit 2H <br />__. _______ _ _____ _Unit 3 <br />SITE MITIGATION <br />2 <br />3. <br />4. <br />5• <br />45, <br />-1 -- <br />�44) <br />� <br />Sacramento Lodi <br />\Af e Sl' 061,5- SrM�t i LOoLt <br />1 K i LDG{A _ <br />west oql< dYreeX � Lodd — <br />6. <br />8. <br />— - <br />'El <br />9. <br />/ <br />m Unit 5 <br />10. I <br />—_ <br />Specific Date Range of Information Requested: From <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />OTHER CLEANUP SITE (NON -LOP) <br />UNDERGROUND TANK (MONITORINGIREMOVAL) <br />BOVEGROUNO TANK <br />HAZARDOUS WASTEMAZARDOUS MATERIALS <br />TIERED PERMITTED FACILITY <br />TATTOO/BODY PIERCING <br />MEDICAL WASTE FACILITY <br />HOUSING ABATEMENT <br />FOOD FACILITY <br />CHICKEN RANCH/ DOG KENNEL <br />MoTEL/HoTEL <br />POOLISPA <br />COMPLAINTIRESPONSE RECORDS <br />to <br />SOLID WASTE FACIUTYNEHICLE <br />WASTE TIRE <br />DAIRY <br />WASTEWATER TREATMENT PLANT <br />PUMPER TRUCKNARDICHEMK:AL TOILETS <br />LAND USE APPLICATION SITES <br />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) 464-0136 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 $130 deposit prior to review. "`BOXED AREA - EHD USE ONLY' <br />e� ✓ <br />❑ Records provided by Staff -PPR Complete. staff Name: <br />Received Time—Jan-21-2017— 3:53PrNo.0727 <br />711115 <br />W <br />