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DAT F�EC E IVSD EHD LOG NUMBER <br /> SAN.IOAQUIN COUNTY <br /> SEP 2 6 2016 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVI�M� �. <br /> ALHMlephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd O)q &7q <br /> ip,FRM1T15ERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jessica Korte BUSINESS/AGENCY: The Vertex Co. <br /> ADDRESS: 17731 Mitchell N. CITY/STATE/ZIP: Irvine, CA 92614 <br /> PHONE(1): 949 407-8459 PHONE(2): 714 240-6086 FAX OR E-MAIL: jkorte@vertexeng.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPED TE REQUEST-�$$i1139 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT /1[92 DATE ()q/2R/2D1 F <br /> 1. List lip to ten addresses i e space below. Select the type(s)of files from the list below 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$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:0013M(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From 1950's to Present <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESSFILES EHD USE ONLY <br /> UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) [I] C CCNSIIMJE <br /> ®OTHER CLEANUP SITE(NON-LOP) 1 2346 Holly Drive Tracy ),/t+ <br /> I— HAZARDOUS WASTE ❑DAIRY <br /> TIERED PERMITTED FACILITY 2 j�P�-/�C.po*s�C,Q <br /> ®ABOVEGROUND TANK racy <br /> I—I UST (MONITORING/REMOVAL) 0PWS <br /> HAZARDOUS MATERIALS 3 n <br /> �- <br /> r1$PILI/RELEASE RESPONSE <br /> ®SOLID WASTE FACILITY/VEHICLE 4@fWATERQUALITY <br /> ❑FOOD FACILITY <br /> F-1 POOL/SPA $ITE MI1.1I <br /> ❑DAIRY 5 <br /> ❑LAND USE APPLICATION SITES <br /> ❑SEPTIC PUMPER TRUCK/ ❑HOUSING <br /> YARD/CHEMICAL TOILETS S <br /> ❑WASTEWATER TREATMENT PLANT <br /> CUPA <br /> ❑HOUSING ABATEMENT 7 <br /> MOTEUHOTEL <br /> ❑CHICKEN RANCH/DOG KENNEL CUPA-UST <br /> MEDICAL WASTE FACILITY B <br /> TATTOO/BODY PIERCING <br /> WASTE TIRE SOLIDWASTE <br /> 9 <br /> ❑COMPLAINT <br /> ❑OTHER(PLEASE SPECIFY): <br /> 0 AmouNrirvO <br /> 10 <br /> • "'BOXED AREA-EHD USE ONLY <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 <br />