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0 EV0612017 3:03 PM 14159529421 -)12094640138 n 1 <br /> . DATE RECEIVED �J SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> f <br /> RECEIVED ED ENVIRONMENTAL HEALTH DEPARTMENT <br /> ttr 1868 East Hazelton Avenue, Stockton, CA 95205-6232 7�2q <br /> SEP 8 6 2UITelephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd ` ` <br /> � <br /> N����a� PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: David Gerhardstein BUSINESS/AGENCY: Partner ESI <br /> ADDRESS: 111 Pine St, STE 1750 CITY/STATE/ZIP: San Francisco, CA 94111 <br /> PHONE(1): 415 - 599 - 1184 PHONE (2): FAX OR E-MAIL: <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 /> F-1 CHECK BOX TO EXPEDITE REQUEST-.$130 FEE(CASH OR CHECK ONLY)'.-.REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT dgerhardstein@partneresi . com DATE September 6, 201 <br /> Electronic Information: ❑ List ❑ Map- Description: <br /> ------------- ------------------------- ------------- ---------- <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name City n <br /> 2255 South Airport Wav Stockton <br /> F3.2. <br /> �r <br /> 6.0-1, MAtv( '�T <br /> vu <br /> 5. / <br /> 87 Sf�'t .M I}l 'ihc <br /> 7. <br /> 8. 5c()V. 7�e- <br /> 97 <br /> 10. t;✓c 4er ..`rig <br /> Specific Date Range of Information Requested: Fran _ to <br /> ENVIRONMENTAL HEALTH DEEA$TMENT FICES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MOTEL/HOTEL ❑SOLID WASTE FACILITYNEHICLE <br /> ©OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑FOOD FACILITY <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ®WASTE TIRE ❑DAIRY,POOUSPA <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ,v❑. HAZARDOUS WASTE ❑MEDICAL WASTE FACILITY ❑PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> Q HAZARDOUS MATERIALS ❑TATTOO/BODY PIERCING ❑LAND USE APPLICATION SITES <br /> TIERED PERMITTED FACILITY ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM•5:0110PM 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 END 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 some 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. <br /> "BOXED AREA-EHD USE ONLY"' <br /> 4>i -UI %Nof <br /> n 0--A- '1F'•AAI -+ b.. e"ift_000 PD....Jese Staff Name: <br /> Received Time=Sep. 6. =2017- 2 : 58PNLNo. 2228 <br />