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<br />DATE RECEIVED 'i r' , ;w,�a EHD LOG NUMBFI
<br />SA JOAQUIN COUNTY
<br />RECEIVED
<br />ENVIRONMENTAL HEALTH DEPARTMENT
<br />R 1868 East Hazelton Avenue, Stockton, CA 95205-6232
<br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org hd
<br />APR 242014
<br />PUBLIC RECORDS RELEASE APPLICATION
<br />ENVI i i
<br />PAA>LTr�FARv�pMzanne Johnson BUSINESS/AGENCY: Wenck Associates, Inc.
<br />4
<br />ADDRESS: 1800 Pioneer Creek Center, P.O. Box 249 CITY/STATE/ZIP: Maple Plain, MN 55359
<br />PHONE (1): 612-418-1547, PHONE (2): FACSIMILE:
<br />TENTATIVE* APPOINTMENT DATE: In town only one day: April 29 - Next Tuesday Time:
<br />(Please allow 10 business days from date of application submittal - *Tentative only - must be confirmed)
<br />CHECK BOX TO EXPEDITE REQUEST - $125 FEE (CASH OR CHECK ONLY) -REQUEST PROCESSED IN 3 BUSINESS DAYS
<br />SIGNATURE OF APPLICANT G DATE April 24, 2014
<br />Electronic Information: X] List x Map — Description:
<br />1900s
<br />FILE ADDRESS
<br />EHD USE ONLY
<br />_� tvbl El Unit 1
<br />ENVIRONMENTAL
<br />Street #
<br />Street Name
<br />City
<br />1.
<br />1400
<br />Waterloo Rd
<br />Stockton
<br />Y5,31,1-50
<br />1,4Dlb unrf 3 5 cos ❑ Unit 2
<br />2.
<br />4648
<br />Waterloo Rd
<br />Stockton
<br />3.
<br />Please see attached three leaking underground storage tank file sites for
<br />the above addresses. I am requesting to see all of the file information for
<br />these release sites. I am also requesting any other UST/AST/Hazardous
<br />Waste/Release Cleanup files for these sites. I will only be in town next
<br />Tuesday, April 29. Thank you very much, I appreciate if you could expedite
<br />this in order to have these files available to me! -Suzanne 612-418-1547
<br />,t 3
<br />4.
<br />5
<br />❑ Unit4
<br />6
<br />7,
<br />&V;�6in.iCi ( �
<br />r „
<br />jl_m��s9
<br />j,�
<br />�
<br />— --
<br />bZ i �s iej'P- MiGP ftMMP Hea
<br />oir�lefe8.❑ Unit 5
<br />9.
<br />,
<br />❑ TATTOO/BODY PIERCING
<br />❑ COMPLA!NTIRESPONSE RECORDS
<br />❑ OTHER (PLEASE SPECIFY)
<br />j
<br />❑ Unit 6
<br />10.
<br />L/Z_S
<br />Specific Date Range of Information Requested: From
<br />1900s
<br />to present
<br />ENVIRONMENTAL
<br />HEALTH DEPARTMENT FILES
<br />I �S
<br />FX-1E]/�
<br />� UNDERGROUND TANK (UST) CLEANUP SITE (LOP)
<br />MEDICAL WASTE FACILITY
<br />❑ SOLID WASTE FACILITYIVEHICLE
<br />lX_n
<br />ICD
<br />FX] OTHER CLEANUP SITE NON -LOP
<br />❑ HOUSING ABATEMENT
<br />❑ WASTE TIRE
<br />I l
<br />[X� UNDERGROUND TANK (MONITORINGIREMOVAL)❑
<br />FOOD FACILITY
<br />❑DAIRY
<br />`2y
<br />4
<br />[x ABOVEGROUND TANK
<br />❑ CHICKEN RANCH/ DOG KENNEL
<br />❑ WASTEWATER TREATMENT PLANT
<br />IA; %1
<br />[XI HAZARDOUS WASTE/HAZARDOUS MATERIALS
<br />❑ MOTELIHOTEL
<br />❑ PUMPER TRUCK/YARD/CHEMICAL TOILETS
<br />❑ TIERED PERMITTED FACILITY
<br />❑ POOLISPA
<br />❑ LAND USE APPLICATION SITES
<br />❑ TATTOO/BODY PIERCING
<br />❑ COMPLA!NTIRESPONSE RECORDS
<br />❑ OTHER (PLEASE SPECIFY)
<br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (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) 464-0138 or mail to the address indicated above. Address
<br />ranges will not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after
<br />3:00 pm will be processed the next business day.
<br />2. 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 />3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be
<br />submitted when the file is available.
<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 $125 deposit prior to review. ***BOXED AREA - EHD USE ONLY
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