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■gin 11 1702:24P Frederick Lehman Motors 9 -652-5168 P.1 <br /> RECEIVED <br /> X -DATE RECEIVED <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> JAN # 201 ENVIRONMENTAL HEALTH DEPARTMENT <br /> ENL/II�Q. EMTa� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> PERMITIS Y-AL HESALTH Telephone: (209)468-3420 Fax:(209)464-0136 Web:wwv✓.sjgov.org!e d <br /> PUBLIC RECORDS RELEASE APPLICATION 05q01 <br /> APPLICANT: Robert Grigas BUSINESSIAGENCY: SEL Construction <br /> ADDRESS: 334D ovy-Zer Ka, ouire E <br /> CITYISTATEIZIP: oarnls, <br /> RHONE(1): 916-223-1394 PHONE(2): 916-223-8415 FAX OR E-MAI m <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 /> El CHECK BOX TO EXPEDI 1 2_EOUE r r 1`7F;,?-I,VSS� R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT f f DATE <br /> 1, List up to ten addresses in he space law. S ct the type(s) of files from the list below by checking the appropriate <br /> box(es). At least one file type MIYST buselected. 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 EHL) 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 maximvrn of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any file not returned in the same eonditJon 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$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY B-00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: El List❑ Map—Description: <br /> Specific Date Range of Information Requested: From 19so to present <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS f 1Z-3-1`T <br /> FILES EHD USE ONLY <br /> QLlNDERGROME,TAux(UST) Street Street Name City <br /> LL'eAM'LIP SITE(LOP) 4204 North Sutter Street �j fJ CON'sWMER <br /> OTHER CLEANUP SrTE(NON-LOP) 1 Stockton ��� ` i.��r�)� ❑ � <br /> Ej HAZA RDous WASTE /} !J <br /> TIERED PERraITTm FAC,ILI�l° 2 /I;0 UG�-T fV !r7 ❑D'll Rf <br /> 17 ABOVEGROUND TANK 4368 N.SLITTER STREET LCkI.n� �v U ! <br /> N UST (?.1ONITORJNG/REwOVAL) ❑PVVG <br /> ❑HAZARDOUS MATERIALS 3 4208 North Sutter Street Stockton d'k?y <br /> I-]SPIUJRELEASE RESPONSE <br /> F1 SOLID WASTE FACI_ITY/VEHIGLE. 4 V/ATER.QI Lr <br /> I <br /> L-_i-I FooD FACILITY <br /> El POOL 1 sP <br /> Q DAIRY $ 0 SF-E FirrIGn71JN <br /> LAND USE APPLICATIGN S TES <br /> SEPTIC PUMPER TRUCX/ 6 ®HOl1SING <br /> YARD I CHENrG4L TOILETS <br /> ©VVASTELVA'TER TREATUENT PLANT <br /> ®HOUSING ABA-EVENT 7 ❑CUPA <br /> MCTELJHOTEL <br /> CHICKEN rRANC}I 1 Doe KENNEL <br /> MEDICAL WASTE FACILITY BUPA-US- <br /> $ <br /> ❑TATToO(BoDT PIERCING <br /> 0 WASTE TIRE 9 ❑SOL D WASTE <br /> U CLAIPLAINT <br /> 0 07HEPWLEA5ESPECIFY): <br /> —SOXED AREA-EHD USr=QNILY_ <br /> ❑ Records provided by Staff-PFR Complete. staff(Name: <br /> EHD 4a-06 <br /> Received Time 2017 2 : 16PM No, 0666 <br />