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RECEIVED <br /> SAN J O A Q U I N JGN 1 Q 2016 Environmental Health Department <br /> COUNTY— PUBLIC RECORDS RELEASE APPLICATION <br /> up �I <br /> lTi IT BY EMAIL <br /> U I EHD LOG NUMBER: <br /> APPLICANT: Casey Schooner BUSINESS/AGENCY:Kimley-Horn and Associates <br /> ADDRESS: 401 B street,Suite 600 CITY/STATE/ZIP:San Diego,CA 92101 <br /> PHONE(1): 619-744-0111 PHONE(2):619-234-9411 FAX OR E-MAIL: caseyschoone,n�gmail.com <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 /> SIGNATURE OF APPLICANT Casey scnooneng�k�rn��y-rlom.eom DATE ,, ;/s s( I- <br /> 1. <br /> -1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138, mail to the <br /> address indicated below,or email to info(a-)slcehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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 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 be reorganized by EHD staff at the expense of the applicant. /z� <br /> Future file reviews by the same applicant may require a$152 deposit prior to review. ` <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map–Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT E FILE ADDRESS '�,�I u� v <br /> = Q <br /> FILES (Specific addresses only,address ranges will not be accepted) S L <br /> QX Underground Tank(UST) Street# Street NarW City <br /> Cleanup Site(LOP) ! Wf <br /> oNSUMEa <br /> Other Cleanup Site(No ) <br /> 1 2487 E MainBbPt *Stockton �` N° <br /> �XAD <br /> 110 XQ Hazardous Waste <br /> ' Wr,rO ��,� AIRY <br /> FX Tiered Permitted Facilit z 2498 E Main Street Stockton co <br /> FX Aboveground Tank ktPjQ `^— <br /> RX UST (Monitoring/Removal) t+ do ❑PWS <br /> Q Hazardous Materials 3 2511 E Main StreakStockton ry�\ �f� <br /> FX Spill/Release Response <br /> Q Solid Waste Facility/Vehicle 4 2524 E Main Streel Stockt p n(W <br /> EJF-1Food Facility '9 W(�/ <br /> EJ Pool/Spa p @161TE MITIGATION <br /> QDairy6 242 S Filbert k on A)) r�jf <br /> Q Land Use Application Sites A&WQ <br /> �X SeptYard/Chemic Truck! 2495 E Lafayette Stockton �� N�( ❑HOUSING <br /> Yard/Chemical Toilets <br /> 6 <br /> Fx Wastewater Treatment PlanttjDUPA <br /> Housing Abatement 7 2498 E Lafayette �tockton �� �p(S,{� AST/HM/HW <br /> ❑Motel/Hotel <br /> ❑Chicken Ranch/Dog Kennel No Ej7c4,PA <br /> Q Medical Waste Facility 8 2500 E Lafayette Stockton avA I0 c ('W UST <br /> Tattoo/Body Piercing <br /> Waste Tire 9 E SOLID WASTE <br /> Q Complaint <br /> F]Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> —BOXED AREA-E//HD• USE <br /> yO�N/LY— V�' <br /> of I ^ - <br /> G c:.• Uj�'1 lieIlei /5�-- <br /> ©0 <br /> EHD-48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />