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' Sep. 19. 2014 10: 15AM No. 0669 P. 1 <br /> DATE RECEIVEDEND LOG NUMBER <br /> ❑ <br /> mc Eav ED SAN .IOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SEP 19 `r_";'� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> EWIIRER�n TESERVICES`TN <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Amy Spitzer BUSINESS/AGENCY:San Joaquin County'Public Works <br /> ADDRESS: 1810 East Hazelton Avenue CITY/STATE/ZIP:Stockton, CA 95205 <br /> PHONE(1): (209)468-8494 PHONE(2): FACSIMILE:(209)468-2999 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 buslnass days from data of application submittal-'Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQU -$125 F ASH R CJWCK ONLY)-REQUEST PROCESSED IN$BSINE D YS <br /> SIGNATURE OF APPLICANT DATE � J <br /> Electronic Information: []' t ist❑Map Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 9 Street Name City Unit 1 <br /> 1. 1620 E. CHEROKEE ROAD�(%F STOCKTON <br /> 2. 1645 I Z 1 E_ CHEROKEE ROAD gVy,-,' 3�% TOCKTON \\=t1c Unit 2 <br /> 3. 1732 E. CHEROKEE ROAD (,3..'2) STOCKTON � <br /> 4, 1807 'E. CHEROKEE ROAD i1, STOCKTON I�1-j <br /> Unit 3F�q[7. <br /> 1844 E.CHEROKEE ROAD N 6 STOCKTON <br /> 2029 '� o E.CHEROKEE ROAD 7y STOCKTON <br /> Z/( p U jtQ <br /> 2204 E. CHEROKEE ROAD STOCKTON <br /> 2233 E. CHEROKEE ROAD STOCKTON nit 5 <br /> 2415 E. CHEROKEE ROAD ( STOCKTON <br /> 2620 E. CHEROKEE ROAD STOCKTON la u it s <br /> Specific Date Range of Informatlon Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> d UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT SOLID WASTE FACILTTYNEHICLE <br /> D OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ffM WASTE TIRE <br /> D UNDERGROUND TANK(MONITORING(REMOVAL) ❑DOG KENNEL NO DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ®CHICKEN RANCH 19 WASTEWATER TREATMENT PLANT <br /> ❑® TIERED PERMITTED FACILITY ❑MOTELMOTEL 19 PUMPER TRUCKMARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOL/SPA LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY S:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List uptoten 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 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 /> 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$125 deposit prior to review. <br /> EHD USE ONLY <br /> P.n I Asa 8IU11 <br /> Received Time Sep. 19. 2014 10: 15AM No- 7094 <br />