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DATE RECEIVED -� EHD LOG NUMBER <br /> z <br /> SAN aIOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 1 <br /> C Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehdv <br /> PUBLIC LI RECORDS RELEASE APPLICATION <br /> APPLICANT: RUSSELL PATERSON BUSINESS/AGENCY: AECOM <br /> ADDRESS: TWO CITY CENTER,SUITE 200 CITY/STATE/ZIP: PORTLAND, ME 04101 <br /> PHONE (1): 207-613-5110 PHONE (2): FACSIMILE: 207-761-0963 <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-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT /;,�. J ' =,r " yi DATE <br /> . - <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. 3131 ARCH AIRPORT STOCKTON <br /> 2• Co - VL'EV-)I TP-v%�'cQ <br /> El Unit 2 <br /> 3. /) <br /> 4. co Ja S ¢-(IC5 CAAACO dU n it 3 T <br /> 5. SITE MITIGATION <br /> 6• Zai t ❑;Unit4 <br /> 7. <br /> 8. ❑ Unit 5 <br /> 9. <br /> 10. <br /> ❑ Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYWEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> rHAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABBLLE``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.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 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 /> 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 /> (qwr` (` Vii y C r.J � - +� tf` <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 5111/15 <br />