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10.-SF-2014 01:33pm From-Youngdahl Consulting Group, Inc 916 933 6482 T-042 P-002/004 F-438 <br /> HECEIVED <br /> DATE RECEIVED SAN aIOAQUIN COUNTY EHD LOG NUMBER <br /> OCT 31 2014 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ENV1RONMEN1% 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> � piiTMENT elephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC `RECORDS RELEASE APPLICATION 1qqq9 <br /> APPLICANT: (t(,(,(/ I,_ 70i'(` 6 BUSINESS/AGENCY: IIc�UD-4- <br /> ADDRESS: I�-�J UA aXe K CITY/STATE/ZIP: 13( ,-DDV-aL C fI� <br /> PHONE(1): QHO�II�t2 --( F GL �� <br /> Please allow 10 business days from date of application submiffal forth ere o�s�be a1�dilable. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> /� ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-R UEST PROCESSED IN 3 BUSINESS DAYS <br /> /V SIGNATURE OF APPLICANT DATE 31-- /1' <br /> Electronic Information: [] List 0 Map-Descripti n: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City [)Unit T <br /> 1. � 's 04 � G 1 <br /> 2. - � p C IV) <br /> 4. 0 t 1 YA(2 I ! 1�untt3 X% <br /> 5. <br /> 6. <br /> - -5 1 41'M Ealinit4 <br /> ❑unit 5 <br /> 9. <br /> 10. �+ <br /> ❑Unit 6 <br /> Specific Date Range of Information Requested: From / ja to 1-70/ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE / <br /> THEIR CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE 5 �I p� k,,- <br /> UNDERGROUND <br /> iUNDERGROUND TANK(MONITORING/REMOVAL ❑FOOD FACILITY ❑DAIRY Y�17- 6 <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> [HAZARDOUS WASTEIHAZARDOUS MATERIALS v\ Ll MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY 41COMPLAINTIREsPoNsE <br /> POOUSPA ❑LAND USE APPLICATION SITES <br /> F1TATTOO/BODY PIERCING RECORDS [OTHER(PLEASE SPECIFY) (4et ji <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILARLE FOR G REviEw: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDINHOLIDAYSS <br /> 1. List up to ten addresses in the space above. Select the type(s)of fifes from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)454-0138 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 buriness 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 /> "Ak1� s - 1 1s — � <br /> (` <br /> j -1b <br /> E ecords provided by Staff-PPR Complete. Stiff Name: <br /> EHD4"6 <br /> O8f01/14 <br /> Received Time Oct, 31. 2014 2: 17PM No. 7447 <br />