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Dec, 1. 2015 9: 59AM Hydrofocus, Inc No, 0022 P. 3 <br /> EHD LOG NUMBER <br /> REUP-77ED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT ^ /� <br /> DEC 4 7 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ji(gfl� Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www,sjgov.org/ehd <br /> `NVIRaNMErI{ALHEALTr <br /> PPUBLIC RECORDS RELEASE APPLICATION <br /> FRP,htT/SFR\ACES <br /> APPLICANT: Christina Lucero BUSINESSIAGENCY:HydroFocua,Inc. <br /> ADDRESS: zezTsparrordstraet CITY/STATE/ZIP:oavla.CADS618 <br /> PHONE(1): (530)759-2A84 PHONE(2):(819)506-2505 FAX OR E-MAIL: clucero@hydrofocus.com <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-$130'FEE(CASH OR CHECKONLY _REQUESTPROCESSECIN3BUSINESS'DAY$ <br /> SIGNATURE OF APPLICANT <br /> �/ 74�1l�/tiC7 DATE <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street# Street Name City <br /> )1. 2251 Stewart Road Lathrop ❑unit 1 <br /> 12• 1175 Marina Drive Lathrop <br /> P. 5585 Stewart Road Lathrop p unit 2 <br /> 14• 16319 N. Paradise Road Lathrop ❑Unit 2H `2lat� <br /> 15- 16400 Cohen Road Lathrop ❑Unit 3 <br /> • 15. 1501 D'Arcy Parkway " Lathrop ❑Unit N <br /> t3H <br /> 17, 18800 Christopher Way Lathrop ^!! Gd'O/nn4 <br /> S <br /> 18. 19104 Christopher Way Lathrop 51TE MITIGATION <br /> 19- 17400 Golden Spike Tralf Lathrop <br /> ❑Unit 6 <br /> ID- 18300 S. Harlan Road Lathrop <br /> SpoclBc Dato Range of Information Roquoslad: From 11111990 to 1/12009 <br /> ENVIRbNMENTA,:HEAL.TH.DEPART ENT FILES <br /> ❑� UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MOTEL/HOTEL ❑SOLID WASTE FACILITYNEHICLE <br /> O OTHER CLEANUP SITE(Nam-LOP) ❑HOUSING ABATEMENT El FOOD FACILITY <br /> ❑UNDERGROUNp TANK(MONITORINGIREMOVAL) ❑WASTETIRE ❑DAIRY,POOLISPA <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑Q WASTEWATER TREATMENT PLANT <br /> ❑HAZARDOUS WASTE ❑MEDICAL WASTE FACILITY ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑HAZARDOUS MATERIALS ❑TATTOO/BODY PIERCING LAND USE APPLICATION SITES <br /> ❑TIERED PERMITTED FACILITY ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SP monitoring wail Installatlon <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW; MONDAY-FRIDAY 8:00 AM-5:00PM fExcLUDING Ho and destruction permits <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(2091464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted.Applications received at 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$130 deposit prior to review. <br /> `""BOXED AREA-EHD USE ONLY*'* <br /> rLJReoo�rdls provided by Staff-PPR Complete. staff Name: <br /> Received Time=Dec. 1. =2015= 9: 58ANrNo. 0139 <br />