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DATE RECEIVED 1 • r--_, EHD LOG NUMBE <br /> SAN JOAQUIN COUNTY <br /> '. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Weov tri <br /> 4ENTALHEAITH PUBLIC RECORDS RELEASE APLLO <br /> PERMII/S au San <br /> APPLICANT: BUSINESS/AGENCY: Partner Engineering & Science <br /> ADDRESS: 400 2nd Street, Suite 415 CITY/STATE/ZIP:San Francisco, CA 94107 <br /> PHONE (1): 415-373-6317 PHONE(2): FACSIMILE:415-889-6020 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITER 122 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 11/29/11 <br /> Electronic information: ❑ List 0-4ap—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street N Street Name City <br /> 1234West Charter Way Stockton Vj T <br /> 2. - -- I �F � tjoGG's <br /> --- —---- �f-[ [[ <br /> Unit 2 <br /> 3. <br /> 4. Q <br /> - Unit 3 <br /> 5. � <br /> 6. ,t�/Unit 4 <br /> 7. <br /> 8. <br /> ❑Unit 5 <br /> 9. <br /> 10. <br /> nit 6 <br /> Specific Dale Range of Information Requested: From All to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> I UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR ;9 CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> IERED PERMITTED FACILITY F]MOTELIHOTEL PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> TATTOO/BODY PIERCING ❑POOL/SPA LAND USE APPLICATION SITES <br /> ,MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW. MONDAY-FRIDAY 8:00 AM-5:00pm(EXCLUDING HOLIDAYS) <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(209)4640138 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$122 deposit prior to review. <br /> EHD USE ONLY <br /> END 48-06 07/28/10 <br />