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03/27/2015 12:18 92577869" PARCEL PLUS PAGE 01/01 <br /> ■ <br /> ■■ f.IF W 6 'V a. 1/ D <br /> ■ EHD LOG NUMBER <br /> ■ SAN JOAQUIN COUNTY <br /> MAR 2 7 201'D ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 soj� <br /> ENVI6C}l�1MENT iL H ftphone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PERMfTISFRVICI;C <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT- Manpreet Singh BUSINESS/AGENCY: United Gas <br /> ADDRESS: 1023 Warhol way CimsTATElzIP: Oakley, CA 94561 <br /> PHONE(1): 925._914,_0973 PHONE(2): FACSIMILE: <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 /> ❑CHECK BOX TO EXPEDITE REQUEST.$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE March 27, 2015 <br /> Electronic Information: ❑Llst❑ Map–Descrlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Strut -._ Street Name City Q It 1 <br /> (344-0 Stockton <br /> / asx_MaiD��ee_ <br /> 2. ❑unit 2 <br /> Uk- <br /> 3. <br /> c 4. p unit 3 <br /> 5. p <br /> 6. �l�d(�lPll ¢llt'l El UnIt 4 <br /> 7. Q�✓1 <br /> 8. Y ❑Unit 5 <br /> 10. ❑Unit 6- <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGRouNoTANK(UST)CLEANUP SITE(LOP) ❑MEDICAL.WASTE FACILITY ❑SOLID WASTE FACILITYNEHK:LE <br /> OTHER CLEANUP SrrE(NON•LOP) ❑ oUSABATEMENT ❑WASTE TIRE <br /> UNDER. MO <br /> ROUND TANK(MONITORINcIREVAL) FING DOD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCH(DDO KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ❑HAZARDOUS WASfEIHAZARDOUS MATERIALS ❑MOTEUHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TIERED PERM TTED FACILITY ❑PODUSFA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIRODY PIERCIN13 WCOMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMrr RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(s)offiles 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 mall to the address Irdlaated ab4y�-. 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 EHD 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(1 D) <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. <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. —BOXED AREA-EHD USE ONLY" <br /> O Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 0-06 =01 el 4 <br /> Received Time Mar. 27. 2015 12: 20PM No. 8416 <br />