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r <br /> DEHD LOG NUMBER <br /> ATE RECEIVED <br /> SAN JOAQUIN COUNTY 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> v ) Y! 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> a N 7pM Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> �! PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Curtis Payton BUSINESS/AGENCY: ERAS Environmental <br /> ADDRESS. 1217 3561 Street CITY/STATE/ZIP: Sacramento, CA 95816 <br /> PHONE (1): 916-267-1246 PHONE(2): FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal.*Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUES125 EE( SHO2CEKONLYj-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 21 Much 2013 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> 1, 446 N.Aurora Street Stockton <br /> 2. 422 . N. Aurora Street Stockton ❑Unit 2 <br /> 3. . 945 E. Lindsay Street AVj Stockton <br /> 4. 700 E. Market Street AK1 Stockton Unit 3 <br /> 5. 308 N. Grant Street Stockton ve 4 <br /> 6. 647 E. Miner Avenue 4j) Stockton his CIIA ✓ 3 f nit <br /> 7. 601 E.Main Street SV Stockton 4 <br /> 8. 731 / E.Miner Avenue 1�7)2S Stockton ❑Units <br /> 9. 345 N. San Joaquin Street Stockton <br /> 10. 730 E. Channel Street 35 Stockton ❑Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT-FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICALWASTE FACILITY ❑SOLID WASTE FACILrrYNEHICLE <br /> ®OTHER CLEANUP SITE(Nowt-OP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TIERED PERMrrrED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> TATTOO/BODY PIERCING ❑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-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The END 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 /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <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$125 deposit prior to review. BOXED_AREA-EHD USE_ONLY <br /> mmnlptp_ Staff Name- _ <br />