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D1 I U111 1.01 1 11 1 MIA%j j LJ.-L-t LULU F L)i E CLJ t=- L UI <br /> Ik LIT-- <br /> DAT -IF .11,4F EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH E)EPARThf.'ENT <br /> r--NVIROMMEENTAL HEALTH 1868 East Hazelton Avenue, Stockton,CA 95205-62322 <br /> PERM]I T tSERN'lCES Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd 94 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANIT: STASCIN F0QS-r1 'E'-:R BUS(RESSIAGENCr.CORM RSTONE EARTH GROUP <br /> ADDRESS: 1526 MACKEY AVE CrTY/STATE/ZIP-SAN JOSE CA 95125 <br /> PHONE(1): 408-712-8866 PHONE(2): Email'. sfoster@cornerstoneearth.com <br /> .......... <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arm nge an appointment date and time to review the requested records. <br /> C-IFECK.BOK' T'O.W''EDPI"��EST $13g;FEE.-'(C�SKOR CHECK ':RE0.t.JEST PROGESSEDIIN S-8.0$INESS DaYS <br /> SIGNATURE OF APPLICANT DATE <br /> i. List uo to ten addresses in the space below. Select the type(s)of flies from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(20914-64-0138 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 schedulied accordingly. <br /> 4. krry 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$'139 deposit priorto review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR R�EIY: MONDAY-FRIDAY 8:00AW,5:00PW(EXCLUDING,HOLIDAYS) <br /> Electronic Information: F-1 List 0 Map — Description: <br /> Specific Date Range of Information Requested: From to ...... <br /> ENORONMENTAL <br /> HEALTH-DEF ARTUENT FILL ADEDRESS <br /> FILE$ EE H—D USE,E ONLY <br /> 4�—r.pot;ND TANK(UST) Str"t Street Name city <br /> CLEANUP SITE(LOP) <br /> CTH.ER CLEANUP SUE(WoN-LOP) 2131 E. Louise Avenue Lathl-op_ <br /> HAzApDais WASTE <br /> K71ERED NRMn-TED FACILITY 2 2301 E. Louise Avenue Lath ro p <br /> ZrABOVEGROUND TANK <br /> [?47UST(MONITOfZINC,I REMOVAL) PW3 <br /> Q'KAZZARDOUS MATERIALS (:R E. Louise t",venue Lathrop ._,i fliLL,�, 2112 <br /> SMLLIRELEA RESP,—INS— <br /> SWO WASTE FACILITY/VEHICLE <br /> FCOO FACILri-t <br /> F-1 PcKX I SPA, �tSJTE M.T*AnDtj <br /> [:]DAIRY <br /> Fj LAND USE APPLICATION SITES <br /> SEPTIC PUMPER TPUCK I <br /> YARD/otemrAL TOILETS <br /> WASTMVATCP.TREATMENT PLANT <br /> W-LIPA <br /> HOUSING ABATEMENT 7 <br /> MOTELMOTEL <br /> Ci-.r KEN I DOG KENNEL WCUPA-UST <br /> MEDICAL WASTE FACwTy <br /> TAT-rctofilob�PIERCING d"..wz, <br /> WASTE TIRE <br /> COMPLAINT <br /> CTHERWI.SASIF SPECIFY); ACC:ouN-nc <br /> 10 <br /> —BOXED ARFA <br /> r-T Records provided by Staff-PPR Complete. Staff Flamer <br /> EHD 4-06 <br /> Received Time Aug, 5. 2016 1 : 14PM No. 1064 <br />