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Erik E-rc•,Am Fax:(888)828-2635 To. 12094640138@eCf8x.cc Fax; (209)464-0138 Page 2 of 2 11113/2017 3.10 PM <br /> C�'EQFnmjl <br /> Dly <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> NOV 13 All, I I`.�,�� ENVIRONMENTAL HEALTH DEPARTMENT e�7513 <br /> 3 <br /> ©1, "�t �M 1868 l=ast Hazelton Avenue: Stockton, CA 95205-6232 <br /> �E"RONMENTA1-.[EAMIephone. (209) 468-3420 Fax. (209)464-0138 Web: WWW'.sjgov.org/ehd <br /> PI=E1 rr/SFl•;�,& <br /> PUBLIC RECORDS RELEASE APPL.ICATIO14 <br /> APPLICANT. Erik Brown SUSINESSIAGENC1P. Partner ESI <br /> ADDRESS: 520 Shelly Drive CITYISTATE/2IP: Pleasant Hill, CA 94523 <br /> PHONE (1): (925) 262-8101 i PHONE (2): (925) 305-5337 FACSIMILE: (888) 828-2635 <br /> Please allow 10 business days from date of application submittal for the records to be available. 1 <br /> Staff will contact you to arrange an appointment date and time to review the requested records. ti , 12. <br /> ❑ CHECK Box TO EXPEDITE REQUEST- SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> BATE November 13, 2017 <br /> Electronic Information. ❑ List❑ Map—Description; <br /> FILE ADDRESS EHD USE ONLY <br /> Street# street Name — city__ <br /> .1234 South Aurora Street Stockton — <br /> 2. 1320 South Aurora Street Stockton _ , CLaWVI/Cp - - <br /> 3. <br /> r-- <br /> 4. <br /> 4AI'A As— l-11 <br /> _.._.._,.. ._ .. 1 -�-I a i L.10. 1 <br /> Specific bate Range of Information Requei ted. From All to All <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY <br /> SOLED <br /> Q WASTE FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NoN-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ®UNDERGROUND TANK(M ONF ORIN GIREMOVA L) ❑FOOD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAzARDous WASTEIHAZARDOUS MATERIALS ❑MOTELMOTEL <br /> ®TIERED PERMITTEt1 FACILIT ❑PUKPER TRUCK1YAItDfCHEMICAL TOILETS <br /> Y <br /> ❑POOLISPA ❑LAND USE APPLICA-1ON SITES <br /> ❑TATTOO/BODY PIERCING ❑CDMPLAINTAESPONSE RECORDS <br /> ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE.AVAILABLE FOR RE1fIEw: MONt)AY-FRIDAY 8:00 A#-5:00I0fa (EXCLUDING HOLIDAYS) <br /> 9. 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 END records, please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHE)files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will behold 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 5130 deposit prior to review. "*BQXFD ARCAE ONLY"` <br /> -1—5T- ll i'�i 4 1c rec G'� I.^ ;ria ( � a ,,, L,w�z lit-•,: 0C, <br /> ❑ Records provided by Staff-PPR Complete. staff/Manse. <br /> P14D 49-De <br /> Oa/01114 <br /> Received Time Nov, 13, 2017 3: 04PM No, 2584 <br />