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RRECENEDSAN JOAQUIN COUNTY <br /> V LL��11 ENVIRONMENTAL HEALTH DEPARTMENT5Z7 <br /> I•EB 1 9 2010 600 East Main Street, Stockton, CA 95202.3029 <br /> I elephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/e. <br /> ENVIRONMENT HEALTH <br /> PERMIT/SERVICES- PUBLIC RECORDS RELEASE APPLICATION <br /> Kerran Fender __ BUSINESSIAGENCY: _ <br /> APPLICANT: Partner Engineering_and Science <br /> ADDRESS: <br /> _1990 East Grand Avenue, Suite 100 E1 Segundo,_ City/State/Zip g <br /> CA 90245 <br /> PHONE(1): 415=962-4755 PHONE(2): 917_710-2770_ FACSIMILE: 1-800-419-4923 <br /> TENTATIVE'APP61NTM ENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal--Tentative only-must be confirmed) <br /> ❑ CHECK SOX.TO EXPEDITE REQUEST.$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Kerran Fender DATE 1/22/10 <br /> Electronic Information: ❑List ❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> StreelR Street Name City <br /> 1 <br /> 1 1535 East Pescadero Avenue Tracy 21 e <br /> 2•� _ Jnil2 \ <br /> Unit 3 <br /> f .5. <br /> t <br /> ,nit 4 <br /> El Unit 5 <br /> Figo, <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> M UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT M SOLID WASTE FACILITYNEHICLE <br /> E OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY B WASTE TIRE <br /> Dl UNDERGROUND TANK(MONITORING/REMOvAL)q ❑DOG KENNEL ❑ DAIRY <br /> 13 HAZARDOUS WASTE GENERATOfok ❑CHICKEN RANCH LII WASTEWATER TREATMENT PLANT <br /> 12 TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> TATTOO/BODY PIERCING ❑POOL/SPA M�LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW- MONDAY-FRIDAY8:00 AM-5:00PM . EXCLUDING HOLIDAYS <br /> 1. List up to ten addresses in the space above. Select the types)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 mall 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 offive 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 $105 deposit prior to review. <br /> EHD USE ONLY <br /> 2-I� E����� c�OD3oazz is ,� �' tE• comP��h� �Y� <br /> is n 4 s <br /> - = 515 3 <br /> EHD 48-06 8104MB PUBLIC RECORDS RELEASEAPP FORM <br />