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06/06/2014 10:38 FAX 4154343947 SMR&M laOO2/004 <br /> DATE RECEIVED F I L 0 C O Y p Y EHD LOG NUMBER <br /> B SAN JOAQUIN COUNTY � <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Iq <br /> J�1N Q tej�oione: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> tUP�r�PL�IBLIC REC()RCtS RELEA E APRL-IGATI,C?/N fir} <br /> APPLICAVMiEf � M�rEl"'uIlin; Richter & HamptonUSINESSI�GFN�Y� `v ��V` Slb�7 <br /> ADDRESS: FoLr Fn�rcadero Center, 17th Floor CITYISTATE/ZIP:San Francisco, CA 94111 <br /> PHONE (1): (415)434-9100 _ PHONE(2): (415)774-2915 FACSIMILE:(415)434-3947 <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 REQ [)S,S ,',#FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN,r3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT '! DATE <br /> Electronic Information: ❑List❑ h1lap–Description: <br /> EHD USE ONLY <br /> _ FILE ADDRESS_. <br /> Street# Street Name ty ❑Unit <br /> 1. 400 D'ArcVParkway--....._. <br /> 2. 500- , Unit 2, <br /> 3 _ -1F777 —kI d / <br /> Unit3 �4 <br /> I/ $ee attach 52r_add);_ __ <br /> m7. <br /> ❑UnItS <br /> 10. 1 ❑ Unit 6 <br /> Specific Date Range of Information Requested: From 1/1/98 to 12/398 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTETIRE <br /> UNDERGROUND TANK(MONFORINGIREMOVAL) FOOD FACILITY E:1 DAIRY <br /> ABOVEGROUND TANK CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS E]MOTELIHOTEL ❑PUMPERTRUCKIYARDICHEMICALTOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOD/BODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY•FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Selectthe 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 flies 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 reiorganized 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-PPi2 CoMoete. Staff Name: <br /> mzana <br /> EHD 4a-De <br /> Received Time Jun. 6. 2014 10:44AM No, 6261 <br />