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CATE RECEIVED `/ EHD LOG NUMBER <br /> SAN .IOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Q <br /> �6V iV 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ( ' Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Erica Burkert BUSINESS/AGENCY: Ecolab <br /> ADDRESS: 1601 West Diehl Road CITY/STATE/ZIP: Naperville, IL 60563 <br /> PHONE(1): 630-305-2117 PHONE(2): N/A FACSIMILE:800-724-9178 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentatrve only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 1 DATE 06/12/2014 <br /> Electronic Information: ❑ List❑ Map—Description: Food safety inspection reports. <br /> FILE ADDRESS EHD USE ONLY <br /> Street p Street Name city 1 Unit 1 <br /> 1. Applebee's 1272 E.Yosemite Avenue Manteca < eruI M <br /> 2. Applebee's 3060 N. Naglee Road Tracy J `I ❑unitz <br /> 3. Famous Dave's 3170 N. Naglee Road Tracy <br /> 4. Juvenile Detention Center 575 W. Mathews Road French Camp ❑ Unit 3 *5W <br /> 5. San Joaquin County Jail 7000 Michael Canlis Boulevard French Camp <br /> 6. St.Joseph's Hospital 1800 N.California Street Stockton ❑ Unit 4 <br /> 7. Olive Garden 3140 Naglee Road Tracy <br /> 8. Olive Garden 2671 West March Lane Stockton ❑ Unit 5 <br /> 9. Red Lobster 2283 West March Lane Stockton <br /> %,lr. ' 1✓' (•yto4l ❑ unit <br /> Specific Date Range of Informatio eque'Aed: From to _&-e� e Mlle[ /i44-,-, <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES f/ <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ❑UNDERGROUND TANK(MONITORINGIREMOVAL) ®FOOD FACILITY ❑DAIRY <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ❑HAZARDOUS WASTE/HAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL 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:OOPM(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-for additional assistance with file 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$125 deposit prior to review. »•BOXED AREA-EHD USE ONLY <br /> F1 Recnrds nrovided by Staff-PPR Complete. Staff Name, <br />