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DATE RECEIVEDEHD LOG NUMBER <br /> �;; SAN JOAQUIN COUNTY <br /> lam(,/t jl 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: Terry Nephew tnephew@kleinfelder.com BUSINESS/AGENCY: Kleinfelder <br /> ADDRESS: 5125 N. Gates Ave., Ste 102 CITY/STATE/ZIP: Fresno, CA 93722 <br /> PHONE (1): 559-577-1459 PHONE (2):559-647-3842 FACSIMILE:559-442-5081 <br /> TENTATIVE*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-$1/25 FEE.(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT f ( i(�G�)ry / �,� ./ ,Z,z-�j�_l�.jjJ jcG i k —DATE r1/'��� <br /> Electronic Information: ❑ List ❑ Map'—' -Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City 1 <br /> 1. 400 East Main St. ! Stockton <br /> 2. 47 South San Joaquin St. Stockton Ivy 10 ❑ unit 2 <br /> 3. 236 East Miner Ave. f Stockton Ah,(WA Nv UDl'� <br /> 4. 700 East Market St. Stockton <br /> PAM (�} ❑"Unit 3 i <br /> 5. 400 South Aurora Stockton �T�OZ3 t 0 e t1WL C <br /> 6. 521 East Main StocktonJQ (.0� r L-0 <br /> 0,U <br /> nit <br /> 632 South EI Dorado Street Stockton <br /> 8. 423 North Madison Stockton o — �Q C ❑ Unit 5 <br /> 9. 402 West Weber Ave Stocktonff,L�0�fi <br /> ND uD1SP <br /> 10. 40 Lincoln Street 0��<� ❑ Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEH�lICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE �h 1P 5 Nr�t/' <br /> ®UNDERGROUND TANK(MON ITORINGIREMOVAL)� F1 FOOD FACILITY El DAIRY 1 i5 CC, 1 h- I / <br /> ®ABOVEGROUND TANK c_ ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALSp!- ❑MOTELMOTEL ❑PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PF —U A/W--K t_ (,UD0 0 N V 14 rpt 5 iJ�J 1 n IT-W f-7I>✓ , (CLUDING HOLIDAYS) <br /> 1. List up to ten addr u00 A10L;0—�/[p�03'J7►3(P��Pe5,SP'II`�� -7lZy <br /> " /Ju0i2) a6D60Z4,LdY Ithe appropriate <br /> box(es). At least( CN rL,Pop&' 6, re ce"("t {yo/K "cje L4P) 11 U"rit Dd above. Address <br /> ranges will not be yo A L4(p�_ Co�3S 30.1 QPj 5Icy")01- co OD 35 30$�t-5106� ons received after <br /> 3:00 pm will be pry I0Ib 01( 0,1 cD/s4^7ed Fit Aie,. <br /> 2. The EHD will notif / �fl_��Zy 8 C�51(�(o�d GDOflau��(�S4 J ` Ipproximately ten (10) <br /> days after receipt ��J� C I D4r-a s I1-1 115. (000030 57�[r0,0(o5 4C 12 rP7) r. Appointments <br /> should be schedu },Ie ro� JoeD `n ti%L � <br /> 60 0036(ob-] �� 510 h e 31701" 0,4) � <br /> 3. A file that is active d` Of 1w application may be <br /> submitted when tl {-, (p✓ �R07 (x13 .� 4 <br /> �t s0 n- C� 05S Q r S1Dto) �tJ se of the applicant. <br /> 4. Any file not returr ��O /u 11 �P+ _ <br /> Future file review: �� l 6 k- icant may require a$125 deposit prior to review, —BOXED AREA-EHD USE ONLY— <br /> 00 Main ' rZl 5T� <br /> Zo. a 40 {fjr `1-7 cul-5k*41 I <br /> �� w�1Cy�:aIC.�z��k y1806, iv,ti!}l .Fil� ;s - P,o �� s�o y� <br /> W <br /> Fun aa.nr 12119/12 <br />