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PATE=RECEIVED 1 F" SAN JOAQUIN COUNTY EHD LOG NUh913ER <br /> JUN �; 9 206 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-5232 <br /> Eff�1VIt C3 '4nEI�ITAt l .Tglephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sj9ov_orLg/rand <br /> PERmI Tfs-l=RWES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: STASON FOSTER 13USINESSIAGENCY:CORNERSTQNE EARTH GROUP <br /> ADDRESS: 1526 MACKEY AVE CITYISTATEIZIP: SAN JOSE CA 85125 <br /> PHONE (1): 406-712-8866 PHONE (2); FACSIMILE: r QS_q,?1 <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 /> F1 CHECK SOX TO EXPEDITE REQ 1 4 FEE "ASH OR CHECK ONLY)-RFOUPS'T PROCESSED IN BUSINESS DAYS <br /> SIGNATURE OF APPLICANT—�� DATE_9 - 13 - 7-015— <br /> Electronic <br /> Z0r5— <br /> Electronic Information: ❑ List[] Map—Description: <br /> FILE ADDRESS EHD USL ONLY <br /> 3traet>* Street Name City ❑Unit 1 <br /> 2131 E_ Louise Avenue athro <br /> 2. 2301 E. Louise Avenue Lathro ;ti^ El Unit 2 <br /> s. 2112 E. Louise Avenue - — Lathrop <br /> 4. — ❑Unit 3 <br /> 5El SITE MITIGATION <br /> G_ <br /> ❑Unita <br /> 8. — _ qUnit t;. <br /> .j 10, ❑Unitb <br /> Sp®clfic DR to Range of Information Requested: From _L� ka <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> VUNDERGROUND TANK(UST)CLEANUP SITE(LOP). ❑MEDICAL WASTE FACILITY 0 SOLID WASTE FACILITYNEHICLE <br /> OTHEK CLEANUP$rTE(NON-LOP) C]HOUSING ABATEMFNr WASTE TIRE <br /> UNDERGRouND TANK(MONITORING/REMOVAL) rOOD FACILITY DAIRY <br /> ABOVEGR.OUNI)TANK r❑CHICKEN RANCIII Doo KENNEL [ WASTGWATER TREATMENT PLANT <br /> MIERED <br /> AZARDOUS WASTEIHAZARDOUS MATERIALS LJ MOTELIHOTI L El PUMPFR TRUCKIYARDICHEmicAL TOILETS <br /> PFRMnTED FACILITY Q POOLISPA 0 LAND USE APPLICATION SITES <br /> []TATTOOI600Y PIERCING ACOMPLAINTIRESPONSE RECORDS ❑OTHER(PLL4SE SPECIFY) <br /> 1itrrELL AND SEPTIC PERMIT RECORDS ARF AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. Ll§. 11 F1 to ten addr gQs In the space above. Select the type(s)of fiifea from the list above by checking the appropriate <br /> box(es). At least one file typo MUST be selected. Fax to(209)4t 4-Q1$ gr rtl It to the adcird s hid#Gated above. Address <br /> ranges will not be accepted,Applications received after 3:04 pin will he processed the next business day. <br /> 2. For assistance in Idewifying the nature and content of FHD records,please contact EHD at the number noted above. <br /> 3. The EH©will not"the applicant It any EHD files exist- An appointment for review will be confirmed approximately ten(10) <br /> days after recelpt of application. The fifes 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 he reorganized by EIiD 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 /> 0 Records provided by Staff-PPR Complete.Staff Name: - <br /> DiD 4026 - - <br /> I ,i G A T I T o < I'I I n P 0 I 1 I I-1 ' I I 7 PAA III/ PO I A <br />