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DATE RECEIVED EHD LOG NUMBER <br />'2/411p <br />/Jai/� � SAN JOAQUIN COUNTY <br />V � ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />od <br />N %/11 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />r9' PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Curtis Payton BUSINESS/AGENCY: ERAS Environmental <br />ADDRESS: 1217 35' Street CITY/STATE/ZIP: Sacramento, CA 95816 <br />PHONE (1): 916-267-1246 PHONE (2): FACSIMILE: <br />TENTATIVE* APPOINTMENT DATE: Time: <br />(Please allow 10 business days from date of application submittal -*Tentative only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUES 125 �EE ( SHO C E K ONLY #- REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OFAPPLICANT � � A/� DATE 21 March 2013 <br />Electronic Information: ❑ List ❑ Map -Description: <br />Street <br />FILE ADDRESS <br />Street Name <br />City <br />EHD USE ONLY <br />❑ Unit 1 <br />1, <br />446 <br />N. Aurora Street <br />Stockton <br />Stockton <br />/ <br />/rni <br />❑ Unit e <br />2, <br />422. <br />N. Aurora Street <br />3.. <br />945 <br />E. Lindsay Street <br />Stockton <br />Stockton <br />4 0 <br />M <br />Unita <br />4. <br />700 <br />E. Market Street <br />5. <br />308. <br />N. Grant Street <br />Stockton <br />Stocktonnit4 <br />y I <br />6. <br />647 <br />E. Miner Avenue <br />7. <br />601 <br />E. Main Street <br />Stockton <br />Stockton <br />1 <br />Unit <br />$- <br />731 <br />E. Miner Avenue <br />345 <br />N. San Joaquin Street <br />Stockton <br />Stockton <br />�/� <br />p unit s <br />10. <br />730 <br />E. Channel Street rt <br />Specific Date Range of Information Requested: From `� �" "J yroai U y7 fT 1�.. �1j' ,Yjg-j jo <br />ENVIRONMENTAL HEALTH DEPARTMENT -FILE <br />IQ UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY ❑ SOLID WASTE FACILrIYNEHICLE <br />OTHER CLEANUP SITE(NON-LOP) ❑ HOUSING ABATEMENT ❑ WASTETIRE g&ppt1r1ivr �X113' <br />UNDERGROUND TANK (MONITORINGIREMOVAL) jI,_ ❑ FOOD FACILITY ❑ DAIRY j. <br />ABOVEGROUND TANK ❑ CHICKEN RANCHI DOG KENNEL ❑ WASTEWATER TREATMENT PLANT <br />RJ HAZARDOUS WASTEIHAZARDOUS MATERULLSA- F1 MOTEL/HOTEL ❑ PUMPER TRUCKIYARDICHEMICALTDILETS <br />TIERED PERmTTED FACILITY (A /yl Pia; r,45/5P1)IS <br />TATroDIBODY PIERCING lO�lM60n i to 00 ROgb3' �Pt 5106 -`s ) n 'H/Lq- U5 File <br />WELL AND SEPTIC PERMIT RECORDS ARE (O D03iD';?a - 6 I rPt 15'A _WV () 4�ile- <br />1. List up to ten addresses in the space a .3 q 5 -�OA Dq W1 <br />box(es). At least one file type MUST b <br />ranges will not be accepted - for additi <br />3:00 pm will be processed the next bu: 4t -i6 /1.. _ 'Q _ L <br />2. The EHD will notify the applicant if an} <br />days after receipt of application. The 1 13 +O % u <br />should be scheduled accordingly. <br />3. A file that is actively being worked on co <br />submitted when the file is available. _____ Pig <br />to 00-2i9N5-e4 rP+ is in +VQ,OW <br />3525- pro,,, <br />- rP7510,6 f5 ; n <br />4. Any file not returned in the same coed 000 30 k69- Ez rpt 15 ,,, gyp- ("M f, IC <br />Future file reviews by the same applicant may require a $125 deposit prior to review. r7wUn1=u AKEA= EHD USE ONLY <br />