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11r08VtD 56243217 <br />KLEINFELDER <br />PAGE 01/01 <br />M 2015 EHD LOG NUMBER <br />DAT € EI ' <br />SAN ,10•AQUIN COUNTY, • <br />ENVIRONMENTAL HEALTH DEPARTMENT g <br />ENVIRONMENTAL EAUw H zStockton,C 95205-6232 <br />1868 East Hazelton Avenue, A <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov_orgfehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />L7 <br />APPLICANT; Margaret Carroll <br />BUSINESS/AGENCY: Kleinfelder <br />ADDRESS: 620 West 16th Street, #F CITYISTATE/ZIP: Long Beach, CA 90813 <br />PHONE (1): 562-432-1696 PHONE (2): FACSIMILE; 562432-1796 <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 I3OX TO EXPEDITE REQUEST - $130 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT ­rn-6P_� j9jDATE February'13, 2015 <br />Electronic Information: ❑ List ❑ Map — escription: <br />FILE ADDRESS <br />EHD USE ONLY ;• <br />p Unit 1 <br />Street # <br />Street Name <br />city <br />1. <br />10849 <br />Trinity Parkway <br />Stockton <br />N^► � ��vG 4'unit 2 <br />2. <br />10858 <br />Trinity Parkway <br />Stockton <br />3. <br />10940 <br />Trinity Parkway <br />Stockton <br />t' N'M gyp` (] Unit <br />4. <br />5. <br />D Unit 4 <br />6. <br />7. <br />1 1 <br />❑ units <br />$, <br />9. <br />Ij J <br />'1_)—j+1•S Unit6 <br />10. <br />Specific Date Range of Information Requested: From All to <br />ENVIRONMENTAL HEALTH DEPARTMENT PILES <br />© UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY ❑ SOLID WASTE FACILITYNEHICLE <br />Q OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT ❑ WASTE TIRE <br />© UNDERGROUND TANK (MONITORINGIRF-MOVAL) ❑ FOOD FACILITY Q DAIRY <br />V❑ ABOVEGROUND TANK ❑ CHICKEN RANCHI DOG KENNEL Q WASTEWATER TREATMENT PLANT <br />J1 HAZAkDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTELMOTEL ❑ PUMPER TRUCKIYARDICHEM ICAL TOILETS <br />❑ TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br />❑ TATTOOIBODY PIERCING Q COMPLAINTIRESPONSE RECORDS Q OTHER (PLEASE SPECIFIC) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00pm (EXCI.UI iNG,HOLIDAYS) <br />1. List up to ten addresses In the space above. Select the type(s) of filos 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 IrtcUAafed aboveAddress <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. Th© EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ton (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 fila 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. <br />6, —1 i�k i <br />���', r! llty felt; I.x�(` U�;• `� v'. i -t �1;�-. v;at C.�.7. <br />❑ Records provided by Staff -PPR Complete. Staff Name: <br />Received Time Feb. 13.' 2015 1:41PM No. 8126 WIN1114 <br />