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Bingham 11 /23/2009 3:03 : 41 PM PAGE 2 'nO2 Fax Server <br /> FL[ <br /> EHD LOG NUMBER <br /> D I �� I ,� SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> fl"J ; Z (i 600 East Main St. Stockton, CA 95202-3029 <br /> Crj`u'�Ut�l4,1t fw-`� -�I�e�ephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org e d <br /> %r(51�'IiITjQV'R`vi Lj PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Doug Larson BUSINESS/AGENCY:Bingham McCutchen LLP <br /> ADDRESS: Three Embarcadero Center CITY/STATE/ZIP:San Francisco, CA 94111-4067 <br /> PHONE (1): 415.393.2796 PHONE (2): FACSIMILE:415.393.2286 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST x"F`,"'^"SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ! DATE November 23, 2009 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street p Street Name City Unit 1 <br /> 1. 848 W.Fremont Street Stockton l�h LxLgr <br /> 2. m . <br /> 3. <br /> 4. <br /> 5. <br /> 6. ❑ it 4 <br /> 7. <br /> 8. <br /> ❑Unit 5 <br /> 9. <br /> 10. <br /> Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES WAY <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITY/VEHICLE <br /> ®OTHER CLEANUP SITE(NDN-LOP) ❑FOOD FACILITY ❑WASTE TIRE U/11� •_ 1� <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCKNARD/CHEMICAL TOILETS <br /> ❑TATTOOBODY PIERCING ❑POOL ISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑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 u0 to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> 707(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 (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 /> 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$115 deposit prior to review. <br /> 5. If you need further assistance,please contact Diane Martinez,at (209)468-3425. <br /> EMD USE ONLY <br /> EHD 4800 827/09 <br />