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DATE RECEIVED_ <br />V i' t I EHD LOG NUMBS <br />�1 �'� SAN JOAQUIN COUNTY ��;�...�. �. _,.>� j,; �' <br />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: Heather Hill <br />ADDRESS:717 Pine St. Apt. 2F <br />BUSINESS/AGENCY <br />EBI Consulting <br />CITY/STATE/ZIP:—Philadelphia, PA 19106 <br />PHONE (1): 419-936-8025 PHONE (2): FACSIMILE: <br />TENTAT/VE*APPOINTMENT DATE: 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 Heather Hill <br />DATE —April 4, 2014 <br />Electronic Information: ❑ List ❑ Map —Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />❑ Unit 1 <br />Street # <br />Street Name <br />City <br />1- <br />24754 <br />East River Road <br />Escalon <br />i "INA <br />E]'Unit 2 <br />2. <br />3. <br />❑ Unit 3 <br />4. <br />5. <br />❑" Unit 4 <br />6. <br />❑ Unit 5 <br />8• <br />9. <br />❑ Unit 6 <br />10. <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES 3 �;��5 <br />U UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY E] SOLID WASTE FACILITYIVEHICLE <br />[� OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT ❑ WASTE TIRE <br />U UNDERGROUND TANK (MONITORING/REMOVAL) ❑ FOOD FACILITY ❑ DAIRY a 1 <br />[x] ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL [x] WASTEWATER TREATMENT PLANT rte' <br />C] HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARD/CHEMICAL TOILETS <br />❑ TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br />❑ TATTOOIBODY PIERCING ❑ COMPLAINTIRESPONSE RECORDS ❑ 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*** <br />l(OA tic -(tf i r e cx <br />❑ Records provided by Staff -PPR Complete. Staff Name: <br />EHD 48-06 9/4112 <br />