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EHD LOG NUMBER DATE RECEIVED Y` `� SAN JOAQUIN COUNTY `.001 ENVIRONMENTAL HEALTH DEPARTMENT �� 7A ll1 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehdl y\� PUBLIC RECORDS RELEASE APPLICATION II APPLICANT: Erica Burkert BUSINESS/AGENCY: Ecolab ADDRESS: 1601 West Diehl Road CITYISTATEIZIP: Naperville IL 60563 PHONE (1): 630-305-2117 PHONE (2): NIA FACSIMILE:800-724-9178 TENTATIVE*APPOINTMENT DATE: Time: (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)--REQUE T PROCE N 3 BUSINESS DAYS SIGNATURE OF APPLICANT D } �17✓r" DATE 09/16/2014 F4" 4" Electronic Information: ❑ List❑ Map—Description: Food safety inspection reports. FILE ADDRESS EHD USE ONLY Street# Street Name City 0 Unit 1 1. Applebees 1272 East Yosemite Avenue Manteca 2. Applebees 2659 West March Land Stockton ❑ Unit 2 3. Chili's 2745 West Kettleman Lane Lodi 4. Chili's 5756 Pacific Avenue Stockton ❑ Unit 5. Chili's 2030 West Grant Line Road Tracy 6. BWW 2796 Naglee Road Tracy ❑ Unit 7. BWW 4751 Pacific Avenue Stockton 8 Olive 3140 Naglee Road Tracy � �eA— ❑ unit 5 Garden Famous ✓`� 9. 3170 North Naglee Road Tracy Dave's 10. 1 /HOP 1 1674 East Hammer Lane Stockton ❑ Unit 6 Specific Date Range of Information Requested: From to ENVIRONMENTAL HEALTH DEPARTMENT FILES ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYIVEHICLE ❑OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE ❑UNDERGROUND TANK(MONITORINGIREMOVAL) ®FOOD FACILITY ❑DAIRY ❑ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT ❑HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES ❑TATTOWBODY PIERCING ❑COMPLAINVRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after 3:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be submitted when the file is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future file reviews by the same applicant may require a $125 deposit prior to review. "'BOXED AREA-EHD USE ONLY