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09/16/2014 1@: 11 5307562687 S DEVEREL PAGE 02 <br /> DA CEI EHD LOG NUMBER <br /> SAN .JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 x <br /> cQFe ��g one: (209) 468-3420 Fax: (209) 464-0138 Web: wvvw.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Christina LUCero BUSINESS/AGENCY: HydroFocus,Inc. <br /> ADDRESS: 2827 Spalford Street CITY/STATE/ZIP:Davis,CA95618 <br /> PHONE (1): (530)759-2484 PHONE (2):(er8)6as-2sos FACSIMILE:(530)756-2687 <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 tha requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$112-5}FEE�(CASH CHECK ONLY)-REOUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT N��6�/1/V"' n < _� DATE <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street ik Street Name city ❑ Unit 1 <br /> r2. <br /> 18601 Christopher Way Lathrop 4 Put, <br /> 18551 Chr stopher Wey <br /> Lathrop v� 0 Unit 2 <br /> 3. 700 D'Arcy Parkway Lathrop <br /> 4. 1501 D'Arcy Parkway Lathrop ❑ Unit 3 <br /> 6. 701 D'Arcy Parkway Lathrop <br /> 6. 18800 Christopher Way Lathrop /—/J71/ QUnit 4 <br /> 7, 18300 S. Harlan Rd Lathrop <br /> 8. 601 Nestle Parkway Lathrop ❑Unit 5 <br /> 9. 19100 Christopher Way Lathrop <br /> % 1 19104 Christopher Way Lathrop ❑units <br /> Spe0flc Date Range of Information Requested: From 1990 to current <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) - ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ❑UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL WASTEWATER TREATMENT PLANT <br /> ❑HAZARDOUS WASTE/HAZARDOUS MATERIALS [_1MorEL1HOTEL ❑PUMPER TRUCKI tNARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑ POOLISPA ❑LAND USE APPLICATION SITE$ <br /> ❑TATTOO/BODY PIERCING ❑COMPLAINT/RESPONSE RECORDS OTHER(PLEASE SPECIFY) a�� P� <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) t <br /> ' r^v- <br /> 1. LIHt up to ten addresses In the space above- Select the type(s)of files from the list above by checking the appropriate akoe��U <br /> box(es). At least one file type MUST be selected. Fax to 1209)464.0138 or mall to the address Indicated above. Address <br /> ranges will not be accepted.Applications recelved 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 /> daysafterreceipt 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 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 /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> Eno 446 V28114 <br /> dece + ved Time Sep. 16. 2014 11 :20AM No. 7060 <br />