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To: Page 5 of 5 law 2015-10-16 13:35:43 (GMT) 18007249178 From: Brian Doyle <br /> @ <br /> o EI q � s` SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> OCT 6 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 (� <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: u,,liurkert BUSINESS/AGENCY: Ecolab <br /> ADDRESS: 1601 West Diehl Road CITYISTATEIZIP: Naperville 11.60563 <br /> PHONE (1): 630-305-2117 PHONE (2): FACSIMILE: 800.724-9178 <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 10/16/2015 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street# Street Name City <br /> 1. 1272 East Yosemite Avenue Manteca <br /> 2. 2659 j West March Lane Stockton Unit 1 <br /> 2745 West Keuleman Lane Lodi Unit 2 <br /> 4. 3140 Naglee Road Tracy Ej Unit 2H <br /> 5. 2671 West March Lane Stockton tOl� <br /> 6. 1150 East Yosemite Avenue Manteca Unit <br /> 17. 1 ggg4 South Harlan Road Lathrop Unit 4 <br /> 8. <br /> SITE MITIGATION <br /> 9. <br /> 10, E]Unit s <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACIUTYNEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> F-1 UNDERGROUND TANK(MONfrORINGIREMOVAL) x❑FOOD FACILITY El DAIRY <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCH(DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ❑HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIH07EL ❑PUMPER TRUCKIYARDICHEMIGAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:o0PM(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)464-0138 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 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(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 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 /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48.06 711715 <br /> Received Time Oct. 16. 2015 6: 35AM No. 9805 <br />