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Page 4 of 4 `LL 2015-12-17 15:52:31 (GMT) 18007249178 From: Brian Doyle <br /> END LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTYCE R •,, <br /> 1- �- ENVIRONMENTAL HEALTH DEPARTMENT <br /> DEC 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 7 20157Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: vAvw.sjgov.org(ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: BicaBurkert BUSINESSIAGENCY: Ecolab <br /> ADDRESS: 1601 West Diehl Road CITY/STATE/ZIP: Naperville ILG0S63 <br /> PHONE (1): 630-305 2117 PHONE(2): FACSIMILE: aooa24-gn8 <br /> Please allow 10 business days from date of application submittal far 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 12/17/2015 <br /> Electronic Information: ❑ List ❑ Map— Description: <br /> FILE ADDRESS <br /> — -- END USE ONLY <br /> Street# Street Name City <br /> 1. 1272 Fast Yosemite Avenue Manteca /�7e A/Qj q I <br /> 2. 3170 North Naglee Road Tracy tp v t/ nii 1 <br /> $. 353 West Louise Avenue Manteca Unit 2 <br /> 4. 353 West Charter Way Stockton ❑Unit 2H <br /> 5. 5110 Montauban Avenue Stockton <br /> G. Unit 3 <br /> 7• Unit 4 <br /> 8. Lj SITE MITIGATION <br /> 9. <br /> 10. ❑Unt5 <br /> Specific Date Range of information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> F-1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACI!ITYNEHICLE <br /> ❑OTHER CLEANUP SITE(NDN-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ❑UNDERGROUND TANK(MONrroRINGIREMOVAL) x❑FOOD FACILITY ❑DAIRY <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATERTREATMENT PLANT <br /> ❑HAZARDOUS WASTEIHAZARDOUS MATER14LS ❑MOTEL/HOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY8:0D 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(2091464-0133 or mail to the address indicated above. Address <br /> ranges will not be accepted.Applications received after 3:OD pm will be processed the next buslness 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 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 /> 4. Any file not rcturned in the same condition as released rill be recrgan!2ed by EH DD staff at-the expense Of the 2pp!ic 2"t. <br /> Future file reviews by the same appi[cant may require a$130 deposit priorto review. *"BOXED AREA-END USE ONLY'" <br /> ❑ Records provided by Staff-PPR Complete.Staff Name: <br /> END 48-08 7111ib <br /> Received Time Dec. 17, 2015 7:51AM No- 0217 <br />