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I ■ <br /> ■ Lin Cao Fax:1800 385-7105 o:2094640135@rcfax.con Fax: +12094640136 Ef <br /> 1 l THDPMLOG <br /> R. EeI I Y SAN JOAQUIN COUNTY NUMBER <br /> ■ <br /> �■ ENVIRONMENTAL HEALTH DEPARTMENT <br /> �■ -JUL 13 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMITISEHVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Amada LaD nas BUSINESS/AGENCY: Fulcrum Environmental <br /> ADDRESS: 2610 Gardi Street CITY/STATE/ZIP: Duarte, Ca 9 10 10 <br /> PHONE(1): 626-228-7361 PHONE(2): FACSIMILE: 800-385-7126 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arra a an appoi tment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUE -$1 0 SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 7/13/2015 <br /> Electronic Information: ❑ List❑ Map—Description: hazardous releases/materials; UST/AST; septic ems <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. 2325 West Charter Way Stockton <br /> f i t� <br /> 2. ,` f :� 71:� �'i "l i�iy! ) Ifk <br /> ❑ Unit <br /> - <br /> 4. <br /> � <br /> ,❑ Unit 3 / <br /> 5. LTJ SITEIM TIGATION <br /> s' <br /> E3/6 nit 4 <br /> 7. <br /> Uni9. t 5 <br /> l <br /> o. <br /> Unit 6 <br /> Specific Date Range of Information Requested: From all to all <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) EX HOUSING A13ATEMENT WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ FOOD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> E17HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTEL/HOTEL ❑PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> [N TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING [COMPLAINT/RESPONSE RECORDS ❑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)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 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 bythe same applicant may require a$125 deposit prior to review. * BOXED AREA-EHD USE ONLY'''* <br /> 2325 West Charter Way, Stockton, CA <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> Fun ae.na 5/11/15 <br /> Received Thole Jul. 13. 2015 1 : 58PM No. 9139 <br />