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08/2G/2014 08:22 71493894 KIMLEY HORN PAGE 01/02 <br /> -p �- -. EHD LOG NUMBER <br /> eri " VED _ SAN JOAQUIN COUNTY Q <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUC 2 6 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Steen. BUSINESSIAGENCY: Kimle -I-Iorn and Associates,Inc. <br /> ADDRESS: 765 The CityDrive,Suite 200 CITY/STATE/ZIP: Orange, CA 92868 <br /> PHONE(1): 714-705-1340 PHONE(2): FACSIMILE: <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-s125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 'r 'k DATE 8/25/14 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Stroot# - StreeENamo Clty ,EIUnit1 <br /> 1• G20 Charter Way, <br /> 5 li' ' r Stockton -)-(-o <br /> 2- 515 Charter Wa •;0-4I, "R"5 ?jJV& Stockton lley nit2 <br /> 3. 508 Charter Way�` �'aq °1 1 ' Stockton k1=`Ile ''^%As? 1 <br /> 4. 440 Charter Way 7Q ,U Stockton v✓` �lUnit3 <br /> 5. 441 Chartcr Way 14`-qI j k3 ` Stockton �y <br /> 6. 641 Charter Way ; 4) <br /> 7,�1 , c)Stockton II Unit a <br /> 7. 701 Charter Way;' j> 4 Stnskton. <br /> 8- 749 1 Charter Way 3g a6 Stockton ❑Units <br /> 9. 18052 CharterWa r� FF Stockton <br /> 10, 1825 CharterWa aad4' `I Stockton Units <br /> Speclfle Date Range of information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> IB]UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAI,WASTE FACILITY SOLID wASTE FACILITYIVEHICLE <br /> lfl OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE <br /> Ej UNDERGROUND TANK(MONITORIN6IREMOVAL) ❑FOOD FACILITY ®DAIRY <br /> ®ASOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTELIp®IpII PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOLISPA 4od LAND USEAPPLICATION SITES <br /> ❑TATTOOBODY 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 spate 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.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in Identifying the nature and content of EHD records,please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD files exist An appointment for revlew will be confirmed approximately ten (10) <br /> days after receipt of application. The flies will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any file not returned In the same condition as released will be reorganized by EHD staff atthe 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 /> El Records provided by Staff-PPR Complete. Staff Name: <br /> E140 4mg 4=14 <br /> Raraivcrl TirnP Auv 96. 71114 RAAM No. 6904 <br />