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To: Page 2 of 2 2017-03-16 22:35:04 (GMT) 14155205858 From: Carrie Locke <br />"! <br />`DCIV SAN JOAQUIN COUNTY EHD LOG NUMBER <br />MAR 1 a 21014 ENVIRONMENTAL HEALTH DEPARTMENT �� <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />�O rALHlV jRIephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd (((/// <br />8 <br />PEIAMrF/SERgrUE9 PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: CanieLocke <br />ADDRESS: 1819 Jackson Street, Apt. 4 <br />PHONE (1): <br />(415) 505-8090 <br />PHONE <br />BUSINESS/AGENCY: BBG <br />CITY/STATEIZIP: San Francisco. CA 94109 <br />FACSIMILE: (415) 520-5858 <br />Please allow 10 business days from date of application submittal for the records to be available. <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 (C R CHECK ONLY) - REQUEST PROCESSED IN 3BUSINESS DAYS <br />SIGNATURE OF APPLICANT _ DATE 03-16-17 <br />Electronic Information: ❑ List ❑ Map — Description: <br />FILE ADDRESS <br />Street # Street Name City <br />EHD USE ONLY <br />❑ Unit 1 <br />1, <br />2449 <br />West Kettleman Lane <br />Lodi <br />..__— L...... /Unit -2. <br />__._._. <br />2. <br />2447 <br />West Kettleman Lane <br />+ <br />Lodi <br />....__ <br />Lodi <br />Lodi <br />3. <br />4. <br />2445 <br />2443 <br />_ ..... _ _. <br />! West KeMeman Lane <br />West Kettleman Lane <br />5. <br />2441 <br />West Kettleman Lane <br />_ Lodi <br />t7 SITEMITIG TION <br />6. <br />2438 <br />West Kettleman Lane <br />LodiC <br />7. <br />2437 <br />West Kettleman Lane <br />Lodi <br />p Unit 5 <br />8. <br />2435 <br />West Kettleman Lane <br />Lodi <br />y, <br />2433 <br />West Kettleman Lane <br />Lod( <br />❑ Unit 6 <br />10. <br />2431 <br />West Kettleman Lane <br />Lodi <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 FACILITY/VEHICLE <br />® OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT © WASTE TIRE <br />® UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ FOOD FACILITY ❑ DAIRY <br />® ABOVEGROUND TANK El CHICKEN RANCH/DOG KENNEL ❑ WASTEWATER TREATMENT PLANT <br />® HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTEUHOTEL ❑ PUMPER TRUCK/YARDICHEMICAL TOILETS <br />X1 TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br />❑ TATTOOIBODY PIERCING ❑X COMPLAINTIRESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 5:00 AM-5:00PM (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. Applications received after 3:00 pm will be processed the next business 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 appointmentfor 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 $125 deposit prior to review. ***BOXED AREA - EHD USE ONLY*** <br />Staff Name: <br />Received Time Mar, 16. 2011( 3:31PM)No. 1044 <br />3121 <br />