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EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> `JJ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SEP 1 2p13 1868 East Hazelton Avenue, Stockton, CA-95205-6232 <br /> Tone: (209) 468-3420 Fax: (209) 464-0138 Web: wvw✓.sjgov.org/ehd <br /> FERMTTISEWCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:AlvinVaruohese BUSINESS/AGENCY: Ecolab <br /> ADDRESS: 1601 West Diehl Rd. CIN/STATE/ZIP: Naperville IL 60563 <br /> PHONE(1): (630) W5-2675 PHONE(2): FACSIMILE:(800) 724-9178 <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Please allow l0 business days from dale of application submittal -`Tentative only-must he confirmed) <br /> ❑CHECK BOXTO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT a ��— DATE 09103/2013 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City nit 1 n <br /> Applebee's 2442 W Ketileman Lane Lodi,CA 95242 /Y <br /> r2.3. <br /> Applebee's 1272 E.Yosemite Ave.Manteca, CA 95336 <br /> ar ❑ UnitApplebee's 2659 W. Mch Lane Stockton,CA 95207 _Applebee's 3060 N.Naglee Road Tracy,CA 95304 `�` ❑Unit 3 <br /> 5• LINACIA JAVA CAFE 420 W ACACIA S Slockmn,CA 95203 <br /> 6• Dameron Hospasi 525 W ACACIA ST SloWoq CA 95203 V VV ❑ Unit 4 <br /> 7• PETERSON HALL <br /> SATELDTE FOOD 575 W MATHEW S RD Fre ., ,CA 95201 <br /> 8. SJ COUNrr JAIL ❑ Unit 5 <br /> EMPLOYEE DINING 7000 MICHAEL CANLIB BLVD Fr.,h Camp,CA 95231 <br /> BJ COUNTY JAIL <br /> 9• <br /> IN FOOD 7000 MICHAEL CANLIB BLVD Frond Cemp,CA 95231 <br /> H <br /> 10• J GENERAL 500 W HOSPrAL RD F.&..p.CA 95201 ❑ Unit 6 <br /> OSPITAL <br /> Specific Data Range of Information Requested: From Please reference attached letter to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LDP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ❑UNDERGROUND TANK(MONITORINGIREMOVAL) ®FOOD FACILITY ❑DAIRY <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL WASTEWATER TREATMENT PLANT <br /> ❑HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEli CAL 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-5:00PM (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 (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 notifythe applicant if any EHD files exist. An appointment for reviewwill 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 EHDstaffmay 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 bythe same applicant may require a$125 deposit prior to review. (,'1e.$OXEOi'P,REA=,_BH�D 115E O,iy1LY <br /> Records p�ovlded ff <br /> by_StaPPf�Gomplete5 staff Name;: <br /> Received Time—Sep. 3. 2013 7 :57AM No. 3959 914112 <br />