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.......... - <br /> T01 X1 LXj; <br /> -- _ <br /> File; Edit View Document Tools window: Help x .I <br /> J111 <br /> i�' if'•. L_J. 1 F 100%—Ir Li, <br /> Find �. <br /> �" <br /> DATE RECEIVED - EHD LOG NUMBER <br /> SAN .�OA411f I1� L�N 0 p y <br /> a Fr� <br /> � ENVIRONMENTAL HEALTH DEPARTMENT <br /> a 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> sTo Q <br /> jLCC I / — ;TPUBLIC <br /> one: (209)468-3420 Fax: (209)464-0138 Web:Mm.sjgov-org/ehd <br /> f RECORDS RELEASE APPLICATION fi <br /> !iF-J, APPLICANT Charina G•aspay BUSINESS/AGENCY: TRC <br /> :� 0 J1I <br /> ADDRESS: 101 2nd Street, Ste 300 CITYISTATEIZIP: 94105 cl <br /> PHONE(1): 41S--644-3000 PHONE(2): 408-•368-1300 FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE Time: <br /> (Please allow 10 business days from date of application submittal-*Tentadve 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 APPLICA14T DATE 5126/2012 <br /> 1 - <br /> Electronic Information: ❑ List❑ Map-Description: <br /> t{ FILE ADDRESS EHD USE ONLY <br /> i1 I a'j i <br /> Street# Street Name City <br /> Unit 1 <br /> app_ 14800 West Schulte Road Trac <br /> }did F3.2. Unit2 .. <br /> 4. JjUit3 <br /> 5 p _ <br /> 6- - &Unit4 <br /> 7. <br /> �Yo 8. Units =' <br /> 9. <br /> 10. v v )Zu. <br /> it 6, <br /> y 4i. �, ;•;. <br /> r5u Specific Date Range of Informafion Requested: From all (earliest; date to, present) <br /> ENVIRONMENTAL HEALTIi DEPARTMENT FILES z ; <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY x❑SOLID WASTE FACUJTYIVEHIGUE _ i`'• <br /> � x❑OTHER CLEANUP SITE(NON-LOP) ❑x HOUSING ABATEMENT ®WASTE TIRE <br /> h LCF' Q UNDERGROUND TANK(MONITORINGIREMovAL) Q FOOD FACILITY El DAIRY `. <br /> ®ADOVEGROUND TANK ❑x CHICKEN RANCHI DOG KENNEL Q WASTEWATER TREATIAENT PLANT <br /> Q HAZARDOUS WASTE/HAZARDOUSMATERIALS Q MOTEUHOTEL ®PUMPER TRUCKIYARDICHEIdiCALTOILETS <br /> 0 TIERED PERtAIM FACILITY POOUSPAx❑LAND USE APPLICATION SITES <br /> Q TATTOo1Bo0Y PIERCING ❑x COMPLAINTIRESPONSE RECORDS Q OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERrArT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) ;I <br /> s0 1. List up to telt addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> f box(es). At least one file type MUST be selected. Fax to(209)484-0138 or mail to the address indicated above. Address <br /> s I ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after -I ^` <br /> p I 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 = r ! <br /> 1 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 1 <br /> submitted when the file is available, E! <br /> {d�j 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. i •1 <br /> FE' Future file reviews by the same applicant may require a$125 deposit prior to review. Boxm ARF =EHD�uSEgNCY <br /> + L <br /> `Recofds provided W,Staff'PP.RiComplete�stStfNeme_r- t> -T -- ��y�,:,;�, �r {�W <br /> EHD 4MG 9£4112 ��i <br /> +r 8.50 x 11.00 in <br /> _ ro - <br /> j Start O , 2i C. QI O Entnsio I Welco:. Questys fig 2 Mic... �' 2 Mic ti Pubbc O (� <br /> I F » r t ' 2 36 PM <br /> -Jot© 1_IN � x_ <br />