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From: E6k Brown Fax:(888)828-2635To: "12094640138@rcfax.c Fax: (209)464-0738 Page 2 of 2 0313112017 6:55 PM <br /> DATE RECEIVED • SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> RECEIVED ENVIRONMENTAL HEALTH DEPARTMENT <br /> �� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 7 v <br /> 'APR 0 3 26n,r Telephone: (209) 468-3420 Fax: (209)464-0138 Web, www.sjgov.org/ehd <br /> awRof rrALi-fF91LTH PUBLIC RECORDS RELEASE APPLICATION <br /> PE o <br /> APPLICANT: Erik Brown BUSINESWAGENCY: Partner ESI <br /> ADDRESS: 520 Shelly Drive CITYISTATEIZIP: Pleasant Hill, CA 94523 <br /> PHONE (1): (925)262-8101 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. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST- SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE March 31 , 2017 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS END USE ONLY <br /> Street A Sheet Name city _ ElUnit 1 <br /> 1• 11180 ! Vallejo Court French Camp IPLYY� pff- / <br /> 2. t I — , J +gym t�ZIA <br /> P 9 Unil 2 <br /> 3. <br /> _ 4' V jo I er L53 Unit3 <br /> 5. ----- �NV1y6C n Y t CUQA'ijttll <br /> 8. h d0. —. — L.!.d G ❑Unit 4 <br /> 7. <br /> 8 <br /> Unit S <br /> 9. . <br /> 10. i ❑units <br /> Specific Date Range of Information Requested: From ' All to All <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILTTYNEHICLE <br /> R OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK - F-1 CHICKENRANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> R HAZARDOUS WASTEMAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCi(NARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOIJSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY 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 apace 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(2D9)464-0138 or mall 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 END at the number noted above. <br /> 3. The END will notify the applicant if any END 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 reorganised by END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a 5130 deposit prior to review. "'BOXED AREA-END USE ONLY1'* <br /> , <br /> Records provided by Staff-PPR Complete. stafrName; <br /> EHD4 N 8&01/14 <br /> Received Tlme Mar. 31, 2017 6: 51PM No. 1135 <br />