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DATE RECEIVED EHDLOGNUMBER <br /> SAN.IOAQUIN COUNTY is 4� <br /> 1�J ENVIRONMENTAL HEALTH DEPARTMENT . <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Farr: (209)4640138 Web:w+vw.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Nicole Persaud 13USINESSIAGENCY. Antea Group <br /> ADDRESS: 1155 N. 1st Street, Suite 201 CITY/STATEIZIP: San Jose, CA 95112 <br /> PHONE(1): 407-758-3428 PHONE(2): FACSIMILE. 925-886-8830 <br /> TENTATIVE'APPOINTMENT DATE: 6/28/13 Time: 1 : O ORM <br /> (Please allow 10 business days From date of application submittal-'rwtWve only-must be confirmed) <br /> ❑CHECK SOXTO EXPEDITE REQUEST-$125 FEE(C OR CHECKONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 6/13/13 <br /> Electronic Information: ❑List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name cityA0 ❑Unit 1 <br /> 1. 10476 Linne Road Traci i I L <br /> 2. ❑UnA2 � <br /> 3. <br /> 4. nit3 <br /> 5. IVC) <br /> 6. CVJrtit 4 <br /> 7. <br /> S. ❑Unit 5 <br /> 9. <br /> 110. 1 1 ❑Units <br /> Specific Date Range of Information Requested: From Earliest available date to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY [0 SOLID WASTE FACILITYNEHIGLEJ <br /> Q OTHER CLEANUP SITE(Nom-LOP) ❑HOUSING ABATEMENT E]WASTE TIRE I P,1e �r k4;!'3_ <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAI�4, ❑Fo00FAGUTY ❑DAIRYb 97/ 3 <br /> ❑X ABOVEGROUND TANK (x ❑CHICKEN RANCHt DOG KENNEL ❑WASTEWATERTREATM iPLAt�T <br /> ❑x HAzARnous WASTEIHAURDOUSMATERv.LVS ❑MOIELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑X TIERED PERMITTED FACILITY LT ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODYPIERCING ©CoMPLAINTIRE5PON5E 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-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. <br /> ay2. 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 fife 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 fileis available, <br /> 4. Any file not retained 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$125 deposit prior to review. —BOXED AREA-EHD USE ONLY <br /> ❑ Records provided by Staff-PPR Complete.staff Name: <br /> EHD48-06 914112 <br />