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From: Erik Brown Fax:(888)828-2635 To: 12094640138@rcfax.cc Fax: ++112094640138 Page 2 of 2 121011201612:38 PM <br /> 9T�a/Wi V E® SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT 51511 (0DET 01 2016 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONWNTAL HEALTH <br /> PERMIUSERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Erik Brown BUSINESS/AGENCY: Partner ESI <br /> ADDRESS: 520 Shelly Drive CITY/STATEIZIP: Pleasant Hill, CA 94523 <br /> PHONE (1): (925)262-8101 PHONE(2): (925)305-5337 FACSIMILE: (888)828-2635 <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 EXPEDITE REQUEST- SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 12/1/16 <br /> Electronic Information: ❑ List❑ Map—Descriptlon: <br /> FILE ADDRESS END USE ONLY <br /> Street Name i city Unit <br /> 1. 540 _ N. Hunter St . Stockton y! q <br /> 2. y! 2/unit S <br /> 3. �/� <br /> 4• li.7 WW 1-f Jp unit 3 <br /> _ J <br /> 6 - 1�-1'{ unitir <br /> Gut'R <br /> T. <br /> 8• ❑unit 3 <br /> 9. <br /> 10. _/Silt Ih9A <br /> LJUrlee <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 FACILITYMEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEMAZARDOUS MATERIALS ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARDICHEMK:AL TOILETS <br /> (R1 TIERED PERMITTED FACILITY ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑TAT 00113ODY PIERCING ❑COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW: 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(2D9)464-01136 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 END records, please contact END at the number noted above. <br /> 3. The END will notify the applicant if any END 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 END 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-END USE ONLY"' <br /> 0 ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 4" e8N114 <br /> Received Time Dec. 1. 2016 12:35PM No. 0426 <br />