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Sep. 19. 2014 10:15AM <br />No, 0669 P. 1 <br />DATE RECEIVED <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />SEP c 1868 East Hazelton Avenue, Stockton', CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />ENV1Fg0NMEN At IIIL-- 1K <br />?ER1,AgjSERv1cE6 ` II. E <br />PUBLIC RECORDS RELEASE AI PLICATIO <br />APPLICANT: Amv S <br />ADDRESS: 1810 East Hazelto Avenue <br />EHD LOG NUMBER <br />. San Joaquin County Public Works <br />CITYISTATE/ZIP: Stockton, CA 95205 <br />PHONE (1): (209) 468-8494 PHONE (2): FACSIMILE: (209) 468-2999 <br />TENTATWE*APPOINTMENT DATE: Time: <br />(Please allow 10 business days from data of application submittal -'Tentative only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITR REQU - $125 F ASH R C K ONLY) - REQUEST PROCESSED IN $ B SINE . D YS <br />SIGNATURE OF APPLICANT DATE <br />Electronic Information: D�6st ❑ Map Description: <br />FILE ADDRESS <br />EHp USE ONLY �, <br />E]Unit1 <br />r� <br />F01 UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />Street # <br />Street Name <br />city <br />1. <br />1620 <br />E. CHEROKEE ROAD��i(� <br />STOCKTON <br />Unit 2 <br />2. <br />1645 <br />10 E_ CHEROKEE ROAD zs o► <br />;" TOCKTON <br />3. <br />1732 <br />E. CHEROKEE ROAD 132-) <br />STOCKTON <br />Unit 3 <br />4. <br />1807 <br />'E. CHEROKEE ROADJJ <br />STOCKTON. <br />. <br />1844 <br />E_ CHEROKEE ROAD f4 <br />STOCKTON <br />r <br />LWnit4 <br />. <br />[7. <br />2029Q <br />E. CHEROKEE ROAD r7 _ <br />STOCKTON <br />2204 <br />E. CHEROKEE ROAD � <br />STOCKTON <br />-pnit s <br />. <br />2233 <br />E. CHEROKEE ROAD Al (--r— <br />STOCKTON <br />9. <br />2415 <br />E. CHEROKEE ROAD a � <br />STOCKTON <br />0 -6 -nit s <br />10. <br />2620 <br />- E. CHEROKEE ROAD N r-- <br />I STOCKTON <br />Specific Date Range of Information Requested_ From <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT FILES <br />r� <br />F01 UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />F HOUSING ABATEMENT <br />D OTHER CLEANUP SITE (NON -LOP) <br />❑ FOOD FACILITY <br />❑■ UNDERGROUND TANK (MOWTORINGIREMOVAL) <br />❑ DOG KENNEL <br />© HAZARDOUS WASTE GENERATOR <br />© CHICKEN RANCH <br />❑■ TIERED PERMITTED FACILITY <br />❑ MOTELIHOTEL <br />❑ TATTOOIBODY PIERCING <br />❑ POOUSPA <br />❑ MEDICAL WASTE FACILITY <br />0 COMPLAINT RECORDS <br />Re( <br />to <br />W SOLID WASTE FACILITYNEHICLE N® SC -1 <br />N WASTE TIRE <br />Q DAIRY <br />�■ WASTEWATER TREATMENT PLANT <br />Q PUMPER TRUCKIYARD/CHEMICAL TOILETS <br />® LAND USE APPLICATION SITES <br />❑ OTHER (PLEASE SPECIFY) <br />WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIr--w: MONDAY -FRIDAY 8:00 Am-5:00PM (EXCLUDING HOLIDAYS) <br />1. List un 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 - 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 avallable. <br />a. Any file not returned In the same condition as releassd 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 />