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RECEAtb` <br /> SAN J©AQUIN COUNTY EHD LOG NUMBER <br /> DEC 12 2a ENVIRONMENTAL HEALTH DEPARTMENT � � �� <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 'WMAQNMFNTAL phone: (209) 468-3420 Fax: (209)4640138 Web: www.sjgov.org/ehd <br /> PER MITMERW-Es <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Lauren Sagun BUSINESS/AGENCY: EFI Globaa <br /> ADDRESS: 5261 W.Imperial Highway. CITY/STATE/ZIP: Los Angeles,CA 80045 <br /> PHONE (1): 310-854-6-300 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 1219/2016 <br /> Electronic Information: ❑ List ❑ Map- Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> AF A ❑ Unit 1 <br /> 1• 103 West 11 th St. Tracy -"7 i J00 Cut-7 <br /> 2, 95 West 11th St. Tracy 1 unit 2 <br /> 3• 1131 Holly Dr. Tracy <br /> 4. 1034 Central Ave Tracy _ � �5, unit s <br /> 5. 68 East 11 th St. Tracy C.D-11110 ur) _�'? <br /> 6. CWeR' sr <br /> �t�nfr-4 <br /> 7. <br /> 8. <br /> _. ❑ Unit 5 <br /> 9.L1 d. - - <br /> © Unit 6 <br /> Specific Date Range of Information Requested': From ear%st to present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑i■ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE'FACILITY <br /> ❑ NON-LOP ❑SOLID WASTE FACILITYNIrHICLE <br /> OTHER CLEANUP SITE <br /> ( ) ❑HOUSING ABATEMENT L]WASTE TIRE J1 L)j-T (7 <br /> ❑■ UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> 701 ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL [:]WASTEWATER' 1 NT PLANT <br /> REATMENT <br /> ❑■ HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOWBODY PIERCING ❑COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:0oPM (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.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 $130 deposit prior to review. —BOXED AREA-EHD USE ONLY"*" <br /> E7 Records provided by Staff-PPR Complete. staff Name: <br /> EHD 48-06 <br /> 98!91114 <br />