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■ ■ <br /> ■ <br /> DER E SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> JAN G y 2% � 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> elephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> -AtOOWd�"PUBLIC RECORDS RELEASE APPLICATION I��+ <br /> APPLICANT: Jennifer LaFromboise BUSINESS/AGENCY: EFI Global <br /> ADDRESS: 5261 West Imperial Highway CITYISTATEIZIP: Los Angeles, CA 90045 <br /> PHONE (1): 310-425-6840 PHONE (2): FACSIMILE:310-854-0199 <br /> TENTATl1/E*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tenfaflve only-must be confirmed) <br /> ❑ CHECK BOXTO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BU5INESS DAYS <br /> SIGNATURE OF APPLICANT DA'T'E 1W2018 j <br /> Electronic Information: [—] List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street# Street Name city <br /> 1. 26881 South MacArthur Drive Tracy iUfl t i-Ak-"�alt <br /> 2. 27001 South MacArthur Drive Tracy C,©-�p I - t0je© <br /> (41 <br /> 3. 5rk-- <br /> 4. <br /> 6. 0511 <br /> 7. "Vr I) <br /> 9. <br /> 10. <br /> Specific Date Range of Information Requested: From Earliest to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> ❑■ OTHER CLEANUP SITE(NON LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE A—(1). f"�) l 5-1 <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY [:]DAIRY 7 <br /> 0 ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZA RD OUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USEAPPLICATION SITES <br /> ❑TATTooIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> VVELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY$: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. 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$125 deposit prior to review. `80XE❑AR E3 A; 1=Hb t15E bNLY <br /> ❑ Records provided_by Staff-PPR Complete, StaffNarnEe: <br /> R e c t j U e d! 1 1 Ili C J a Il. 4. 2 N l"1 i� J i AV ,til l'+ 2 914112 <br />