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F No, 3464 P, 2 <br /> DATg t <br /> EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> FEB 2 2017 *ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton,CA 95205-6232 F2 <br /> n,'jj ,� L� lephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> no,PEWAIMERd` 'J y PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ashlen McGinnis BUSINESS/AGENCY: SLTC Public Works <br /> ADDRESS: 1810 E. T3azeltorn Ave CITY/STATE/ZIP: Stockton, CA 95205 <br /> PHONE(1): 209-4683085 PHONE(2): FAXORE-MAIL: 209-468-2999 <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 BOXTO EXPEDIMQUES $139FE�(CASH OR CHECK ONLY -REQUEST PROCESSED(N 3 6..SINESSDAYS <br /> SIGNATURE OF APPLICANTt DATE <br /> 1. List up to ten addresses in the space below. Select the type(s)of files from the list below by chsckin 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 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 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$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: [:] List L] Map-Description: 0 �- <br /> Speclflc Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH.DEPARTMENT FILE ADDRESS EHD USE ONLY <br /> FILES <br /> UNDERGROUND TANK(UST) Street# Straot Name City <br /> QLFANUP SITE(LOP) ,,/„ / A'F CONel7MER •3i+ <br /> OTHER CLEANUP$ITE(NON-LOP) 1 �I l(•'W lf' S ` V VV J 'l(/I'� <br /> dHAVaDOUS WASTEy1�.� -t^ -® r C3DNRr <br /> TIERED PERMITTED FAOIIm' 2 1�1 1'n .yam'' <br /> �ABOVEGROuNDTANK C/ <br /> ❑PWS <br /> UST (MONITORING/REMOVAL) <br /> 1, it YI <br /> �. �-{AZARDous MArERwtz <br /> dSPIUJRELEA.SE RESPONSE - [}°WATER QUALITY <br /> s t� <br /> EfSOLID WASTE FACILITY/VEHICLE <br /> r7 FOOD FACILITY B� <br /> [ POOL/SPA �( - Srre MmcanoN <br /> F]DAIRY <br /> J[rLAND Usr APPucaT+oN SIT <br /> HoustNc <br /> J� <br /> ff/sEPTIc PUMPER TRUCK/ <br /> YARD/CHEMICAL TOR.ETs <br /> 0 WASTEWATER TREATM2Mr PLANTI RS i l y Q COPA <br /> I]HOUSING ABATEMENT ] {� i.. ,Ir/A a� <br /> MOTWUHOTEL ('V V {�� V( (C���' 'V/f <br /> !]��� CUPA-UST <br /> CHICKEN IWI.CH/DOO KENNEL l^/ I'�J o� <br /> MEDICAL WASTE FACILITY 9 Z 1/V -�W UI <br /> i]TATTOO/BODY PIERCING F14t22_ <br /> n` $OLID Woksm <br /> WA�nREo ��COMPLAINT E]OTHER(PLEA4E SPECIFY): --� v �r�ciw- ❑A=OUNnNO <br /> S M c-i n 1N <br /> —BOXED AREA-EMD USE ONLY"' <br /> Z <br /> � � r <br /> e oras provided by Staff-PPR Complete- Staff Name: 0 <br /> Received-Time Feb, 23, 20173 �04P No. 0872 `�' / <br />