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s■ <br /> EHD LOG NUMBER <br /> ■; " SAN .IOAQUIN COUNTY <br /> ■�, ENVIRONMENTAL HEALTH DEPARTMENT <br /> OCT 20 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 ' <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTALHFALT-I PUBLIC RECORDS RELEASE APPLICATION <br /> PFRaniTI4E9VICES <br /> APPLICANT: LitaFreeman BUSINESSIAGENCY: AEI Consultants <br /> ADDRESS: 1420 F Roseville Pkwy,#140-262 CITYISTATEIZIP: Roseville, CA 95661 <br /> PHONE(1): 916-677-9897 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 data 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 APPLICANTc =�' -'� DATE 10/10/14 <br /> Electronic Information: ❑ List❑ Map—DesCriptlon: <br /> FILE ADDRESS END USE ONLY <br /> Street# Street Name city _ ❑ Unit 1 <br /> 1, 1919 N_Broadway Avenue Stockton =(1¢5 TM <br /> 2. 1905 N. Broadway Avenu Stockton v)5v-" Unit <br /> 3. DTT i rj <br /> 4• ❑- alt J � <br /> i x <br /> 6. <br /> 8• Z lu [-Tunit4 <br /> 7. <br /> 8. ❑ Unita <br /> 9. <br /> 18, p unit s <br /> Specific Date Range of Information Requested: From 1940 to present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ®SOLID WASTE FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ©UNDERGROUND TANK(MONRORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> M ABOVEGROUND TANK ❑CHICKEN RANCPJ DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> M HAZARDOUS WASTEMAZARDOUS MATERIALS ❑MOTEL/HoTEL ❑PUMPERTRUCKIYARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOIJSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTO019ODY PIERCING ®COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLJDAYS) <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)464-0138 or mail to the address Indicated above. 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 END records, please contact END at the number noted above. <br /> 3. The END wilt notify the applicant if any END flies exist. An appolntmontfor 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 reloaaed will be raorgan(2ed by END staff atthe expense of the applicant <br /> Future file reviews by the same applicant may requires$130 deposit prior to review. "`BOXED AREA.�HD USE ONLY" <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> Received Time 00. 20. 2014 1 : 13PM No- 7366 <br />