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M�UtIV W No. 3554 P. . 1 <br />DATE SIH � 7 2017 SAN JOAQUIN COUNTY EHD LOG NUMBER <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />5WRONMENTAL F1fENLT`H 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />P'ERdd1TrSETA-CEI,$ Telephone: (209) 468-3420 Fax: (209) 4640138 Web: WWW.sjgov.orgfehd 039 <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: AShlen McGinnis' BUSINESS/AGENCY: SJC public Works <br />ADDRESS: 1810 E. Hazelton Ave CITY/STATE/ZIP: Stockton CA 95205 <br />PHONE (1): 209-468-3085PHONE(2): FAXORE-MAIL: 209-468-2999 <br />Please allow 10 business days from date of application submittal for the records to be avallable. <br />Staff will contact you to arrange an appointment date and time to review the requested records. <br />CHECK BOX TO EXPEDITE RE QU ST_ 9 FEE CASH OR CHECK ONLY) 'REQUESTPROCESSED IN 3 BUSIN S_S DAYS <br />- .— -...... ---- �..... _ _ .. _ <br />SIGNATURE OF APPLICANT DATE <br />I. List up to ten addresses In the space below. Select the type(s) of flies from the list below 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. Applications received after 3:00 pm will be processed the next business day. <br />2. For assistance in identifying the nature and content of EMD 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 appllcation. 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 END staff at the expense of the applicant. <br />Future file reviews by the same applicant may require a $139 deposit prior to review. <br />WELL ANb SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5.00PM (EXCLUDING HOLIDAYS) <br />Electronic Information: ❑ List ❑ Map - Description: <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL <br />Zd �a�I �_.�. '• + ���fri��l7�!El <br />HEALTH DEPARTMENT <br />FILES <br />FILE ADDRESS <br />EHD U E ONLY <br />EfUNDERGROVND TANK (UST) <br />Street # <br />Street Name <br />City <br />CLEANUP SITE (LOP) <br />YOTHER CLEANUP SITE (NON -LOP) <br />' <br />.5463 <br />E Cherokee Ln <br />Stockton <br />CONsuMgR <br />VfMAZAROOUS WAaTE <br />2 <br />1201 <br />N Filbert St <br />Stockton <br />r d DAIRY <br />t�a <br />11TIERED PERMI TW FACILITY <br />L4'A6ovE13ROUND TANK <br />grUST (MONITORING / REMOVAL)' <br />�HAzARDous MATERWS <br />' <br />1111 <br />N E St <br />Stockton <br />PM <br />PILIIRELEASE REBPON$E <br />4 <br />2474 <br />E Willow St <br />Stockton <br />® WAT €R OWLTTV <br />SOLID WARTE FACILITY / VEHICLE <br />000 FACILITY <br />OOL/SPA <br />AIRY �" <br />5 <br />3507 <br />S Odell Ave <br />Stockton <br />917E MITIGATION <br />_ <br />LAND USE APPLICATION SITES <br />S7PTi <br />� YARD / CHEMICALToi <br />YARD � CHEMICAL TOILETS <br />s <br />3146 <br />S Odell Ave -� <br />Stockton <br />[1J HovaING <br />E <br />efwASTEWATER TRFATMENT PLANT- <br />�HOUSINGABATEMENT <br />7 <br />2715C <br />S EI Dorado St ✓ <br />Stockton <br />M � CUPA <br />[] MOMJHOTEL <br />Er0inKEN RANCH / DOG KENNEL <br />E] MEDICAL WASTE FACILITY <br />a <br />3690 <br />S Turnpike Rd <br />Stockton <br />19 CUPA- UST <br />T PIERCINGASTETIREOMPLAINT <br />T,I <br />- <br />OTHER(PLEASE SPECIFY): <br />10 <br />co is <br />LL % <br />' /�f to fi { �S <br />Q <br />a (IGl I' <br />ACCOUNTING <br />BVIG� ❑ <br />►�� , <br />"'@OXED AREA -END USE oNL1^' (�•�/� <br />it�I�l _ tI >IIfJE <br />r''.♦1151/1 <br />Zd �a�I �_.�. '• + ���fri��l7�!El <br />Records provided by Staff -PPR Complete. Staff Name: <br />�=CQ7lC��a^rnra�� <br />R e111.. � i Ctrl i �- 39't i 10 , i i V- <br />ql` <br />