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F.L;;vz;;i V 1.1�111J JAN %JUAUUIN UUUN I Y <br /> DEC 16 2016 Er, .30NMENTAL HEALTH DEPARTM'' IT 151130 <br /> 1868 East Hazelton Avenue, Stockton, CA 952 ;232 'a 0-1 <br /> ENVIRONMENTAL HEALT�QJH ephone: (209) 468-3420 Fax: (209) 464-0138 Web: vwwv.sjgov.org/ehd <br /> PERMIT(SERVICES PUBLIC RECORDS RELEASE APPLICATION ra, r <br /> ` r T1 <br /> APPLICANT:Ryan Ahrling BUSINESS/AGENCY:Basics Environmental Inc. <br /> ADDRESS: 655 12th Street Suite 126 CITY/STATE/ZIP:Oakland, CA 9460 <br /> PHONE (1): 510.834.9099 PHONE (2): 650.284.6276 FACSIMILE: ryanahrling.basics <br /> @2'm "kOrn <br /> Please allow 10 business days from date of application submittal for the records to be val a e. <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 CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT R.D.A DATE 12.16.2016 <br /> Electronic Information: ❑ List ❑ Map–Description: <br /> FILE ADDRESS EHD USE ONLY <br /> �2 Z� <br /> Street# Street Name City Unit 1 <br /> 235 West Scotts Avenue StocktonAPN <br /> . �nit2 <br /> 3. 147-110-19 and <br /> 4, 147-120-09) [�Unit 3 <br /> 5. <br /> 6. Llt-4 W <br /> 7. <br /> 8, 41/1 Unit 5 <br /> 9. <br /> s49 <br /> 10. (�]ir <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑,/ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) FA MEDICAL WASTE FACILITYt/❑SOLID WASTE FACILITYIVEHICLE <br /> *OTHER CLEANUP SITE(NON-LOP) WI HOUSING ABATEMENT ©WASTE TIRE J^'0 <br /> ©UNDERGROUND TANK(MONITORINGIREMOVAL) W FOOD FACILITY ©DAIRY J <br /> ABOVEGROUND TANK P1 CHICKEN RANCH/DOG KENNEL ✓❑WASTEWATER TREATMENT PLANT <br /> ©HAZARDOUS WASTEIHAZARDOUS MATERIALS ®MOTELIHOTEL ©PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ©TIERED PERMITTED FACILITY P1 POOLISPA ❑LAND USE APPLICATION SITES <br /> ©TATTOOIBODY PIERCING 0 COMPLAINTIRESPONSE 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 by the same applicant may require a$130 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 08/01/14 <br />