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E�[61 GBVE ' SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> h `;'4S.f�Fv'T <br /> DEC 12 2W ENVIRONMENTAL HEALTH DEPARTMENT 95149 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ,ii' *phone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PEerMfr> t PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Lauren Sagun BUSINESS/AGENCY: EFI Global <br /> ADDRESS: 5261 W.Imperial Highway. CITY/STATE/ZIP: Los Angeles,CA 90045 <br /> PHONE (1): 310-854-6300 PHONE (2): FACSIMILE: <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-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 12/9/2016 <br /> Electronic Information: ❑ List ❑ Map— Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ❑Unit 1 <br /> 1. 103 West 11th St. Tracy i .Q <br /> 2. 95 West 11th St. Tracy0 '(a Unit 2 <br /> 3. 1131 Holly Dr. Tracy <br /> 4. 1034 Central Ave Tracy 0 �4�,N9 ( Unit 3 <br /> 5. 68 East 11th St. Tracy cp.v u5t_(�pspz��3 INO� ' <br /> 6. bfj`lt sr <br /> L. 7. <br /> a. <br /> ❑ unit s <br /> 9. <br /> 10. <br /> ❑Unit 6 <br /> Specific Date Range of Information Requested: From earliest to present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACLTYIVEHICLE <br /> El OTHER CLEANUP SITE(NON-LOP) El HOUSING ABATEMENT [:1 WASTE TIRE 1COtO,.Jl(A")T IPs <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL) El FOOD FACILITY [I DAIRY IZ- p-149 <br /> XABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL F-1WASTEWATER TREATMENT PLANT <br /> N HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELMOTEL ❑PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑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-5:00PM(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 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 /> 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$130 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 4846 <br /> oerovla <br />