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02/10/2009 13:45 FAX 3106154544 • 0001/001 <br /> - EHD LOG NUMBER <br /> SAN.IOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> f3 - OGS 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax; (209)464-0138 Web: www.sjgov.or <br /> f_:N V 1 R 1 E <br /> ^!_°', 'il" V!Cc3 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Kerran Pedder 13USINESSIAGENCY: Partner Engineering and Science <br /> ADDRESS: 2101 Rosecrans Ave, 44270_ Cltyistate/zip E1 Segundo, CA 90245 <br /> PHONE(1): 415-962-4755 PHONE(2): 91,7-71.0-2770 FACSIMILE: 1-800-419-4923 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Phase allow 10 business Bays from data of application submittal-"Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$106 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Kerran Pender DATE 2/10/09 <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City -_- <br /> -- - EI Unit 1 <br /> 1. 3190 I Auto Center Circa.e Stockton <br /> 2 Unit 2 <br /> Unit \ <br /> Unit 4 <br /> �\(� <br /> �. <br /> 7. nt4 <br /> 8. <br /> Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> M UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT C3 SOLID WASTE FACILITYNEHICLE <br /> E3 OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY WASTE TIRE <br /> M UNDERGROUND TANK(MONITOwNO/REMOVAL) ❑DpG KENNEL. 0 DAIRY <br /> 13 HAZARDOUS WASTE GENERATOR CHICKEN RANCH Q WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL PUMPER TRUCKIYARD/CHEM TOILETS <br /> O TATTOOIBODY PIERCIN43 POOLISPA CT LAND USE APPLICATION SITES <br /> Q MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEFTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 5:00 AM-6:00PM - EXCLUDING HOLIDAY$- <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 FHD 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$106 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48.06 $/04108 PUBLIC RECORDS RELEASE APP FORM <br />