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0 01/17/2018 3:41PM FAX 3108540199 EFI Global 100001/0001 <br /> ` ec EHD LOG NUMBER <br /> MI V GL.J SAN .IOAQUIN COUNTY <br /> OWN <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> • JAN ) 7 SIS ' vlI' 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c(+Ap,_ Sr Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALT-H �✓V�• <br /> PEIWIT/SEWCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: NDIi Valera BUSINESS/AGENCY: EFI Global <br /> ADDRESS: 433 Airport Boulevard, Suite 303 CITY/STATEIZIP: Burlingame, CA 94010 <br /> 415-857-8517 PHONE(2): FACSIMILE:415-552-3509 <br /> PHONE(1): ," <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-Tentative only-must be confirmed) / <br /> ❑ CHECK BOXTO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1/17/18 <br /> Electronic Information: A List❑ Map—Description: <br /> FILE ADDRESS <br /> \ Street# street Name City <br /> IS 2402 South California Street Stockton c <br /> 2. 2422 South California Street Stockton <br /> 'lt S ) �K <br /> 3. <br /> 4. <br /> 5. ln/AFr(�n l { <br /> 6. <br /> • 7. ) 5 LUfo_Qr <br /> hivl <br /> 8. <br /> s. _ <br /> p ,iy LA61 <br /> I � <br /> 10. <br /> Specific Date Range of Information Requested: From Earliest to Presen <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑11 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICALWASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ❑� UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ❑1 HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM (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(2091464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten It 0) <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 /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <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 /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> Received Time Jan. 11. 2018 3: 2/FM No. 2915 <br />