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-v" SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT �� / <br /> �ryN 2 2 201Q� 600 East Main Street; Stockton, CA 95202-3029 <br /> elephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONNIFNT HEALTH <br /> PERMITISERVIGES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Kerran Pender BUSINESS/AGENCY: Partner Engineering and Sci=nc= <br /> ADDRESS: 1990 East Grand Avenue, Suite 100 _ City/Statealp El Segundo, CA 90245 <br /> PHONE(1): 415-962-4755 PHONE(2): 917-710-2770 ___FACSIMILE: 1-800-419-4923 <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 REQUEST-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Kerran Pender DATE 1/22/10 <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ U it 1 ry <br /> 1 �rl 1 1535 East Pescadero Avenue Tracy olwF -j i <br /> 2, Unit 2 Vl�` <br /> r� 4 Unit 3 <br /> ellr <br /> /Unit 4 <br /> 6. <br /> 7. ❑ Unit 5 <br /> 8. <br /> 9. Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From _ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> M UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENT M SOLID WASTE FACILITYfVEHICLE <br /> M OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY 13 WASTE TIRE <br /> M UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑ DAIRY <br /> 13 HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH r3 WASTEWATER TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> 11 TATTOO/BOOP PIERCING ❑ POOL/SPA CYLAND USE APPLICATION SITES <br /> Q MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDSARE 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)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0136 or mail to the address Indicated above. Address <br /> ranges will not be accepted—for additional assistance with fife 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$105 deposit prior to review. <br /> EHD USE ONLY <br /> I <br /> END 48-06 8/04/08 PUBLIC RECORDS RELEASE APP FORM <br />