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' 'U� J'^�h'\ <br /> � �� E~�G 8 ~� smzLOG NUMBER <br /> ��� E-�" SAN UOAQUlN COUNTY � <br /> ' <br /> ENV[RONMENTALHEALTH DEPARTMENT <br /> e�w 188OEast Hazelton Avenue, Stockton, CA 95205-6232�qlpp <br /> hone: (209) 468-3420 Fax: (209) 404'0138Web: www.sjgov.org/e hd <br /> " '~~--- PUBUC RECORDS RELEASE APPLICATION <br /> APPLICANT: E;NESS!AGENCy <br /> ADDRESS: 2500 Camino Diablo CITY/STATE/ZIP: Walnut Creek, CA 94597 <br /> PHONE (1): PHONE (2): FACSIMILE: (925) 746-6099 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you toarrange a appointment date and time toreview the requested records. <br /> L� CHECK BOX ToEXPEDITE REQUEST $1 3oFEE(CASH oxCHECK ONLY) REQUEST PROCESSED|moBUSINESS DAYS <br /> SIGNATURE OFAPPLICANT DATE <br /> Electronic Information: Ej List E] fiflap—Description: <br /> RLE ADDRESS <br /> EHD USE ONLY <br /> Stree Street Name City <br /> 493 East 6th Street Tracy <br /> 2. 497 East 6th Street Tracy D'Unit I <br /> 3. 500 1 Oth Street Tracy <br /> 4. Ej Unit 2H <br /> 5. <br /> 6. <br /> 8. <br /> [I SITE MITIGATION <br /> 9. <br /> El Unit <br /> ./ <br /> ~ ^ <br /> Specific Date Range mInformation Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY SOLID WASTE FACILITY/VEHICLE�/c~�—'�Y��w" <br /> "~' <br /> FX OTHER CLEANUP SITE(Nnw'LDP) HOUSING ABATEMENT FX1 WASTE TIRE ^~~ <br /> UNDERGROUND TANK(Mow|ToR|ws/RsmoxxL) FOOD FACILITY OmnY <br /> ABOVEGROUND TANK CHICKEN RANCH/DOG KENNEL 7X WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTE/HAZARDOUS MATERIALS MoTsUHoTsL PUMPER TguoKYAmo/CxEm|cALTOILETS <br /> TIERED PERMITTED FACILITY pooUSpA LAND USE APPLICATION SITES <br /> L1TxTToo/Boo,PIERCING CompLmwT/RsapowosRsconon F]OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE R MONDAY—FRIDAY DDOA 500 <br /> 1. List up to ten addresses inthe space above. Select the type(s) uffiles from the list above bychecking the appropriate <br /> box(es). Auleast one file type MUST boselected. Address <br /> ranges will not be accepted.Applications received after 3:00 prn will be processed the next business day. <br /> a. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted above. <br /> 3. The EHDwill notify the applicant ifany EHDfiles exist. Anappointment for review will beconfirmed approximately ten (1V) <br /> days after receipt ofapplication. The files will beheld fo,amaximum of, five business days for review. Appointments <br /> should bescheduled accordingly. <br /> 4. Any file not returned in the sarne condition as released will be reorganized by EHD staff at the expense orthe appxoant� <br /> Future n|e ,oviow'obythe same applicant may,equimreview. ~� AREA EHIDUSE °~ <br />