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0: Page 3 of 306/06/2016 16:07:29 PDT 16507454737 From: eFax San Francisco <br /> QQ <br /> E F-u- OEHD LOG NUMBER <br /> R, <br /> SAN JAQUIN COUNTY <br /> JUM 0 7 2 0 `3 &mRONMENTAL 14EI'-kLTH DEPAR—MENT <br /> 1868 East Hazelton„venue,Stockton,CA 95205-6222 <br /> Le,,aMt,R-ONMENITAL HEALTH Teieplhone:(209)468-34290 Fax: (209)464-0138 Web:www.sjgrv.orq-' hd <br /> FERMT/SER\;flGES PUBUG RECORDS RELEASE .PPL ICIMON ni r onnu <br /> APPLICANT: Kevin J%lmostad BUSINESSIAGENCY: <br /> ADDRESS; 1277Treat Boulevard,Suite 5-00 CITY/STIP T,20P- Walnut Creek, CA 94597 <br /> PHONE(11): 925-482-3257 — PHONE(2). 925-330-9267 PAX OR E-JMAJL� kevin,,q1r,,,est2-dPerm,c n-I <br /> Please allow 10 business days from date,of application submiffal for the records to be evadable. <br /> Qfa ff <br /> twill contactyou-toarrange an appointinantdate and th-neto review the reques'Md records. <br /> E P-F-Q IFR.F;P T <br /> SIGNATURE OF A PPLICANT DATE—C-16/.2016 <br /> 1. LiStU'L)triten addresses in the space bialow. Select the bypels)of fifles from the liat below by checking the appropr.late <br /> bax(es). At least one file type MUST be selected. Fato(2091464-0138 or rnall to the address Indicated above.. Address <br /> ranges will not be accepted-Applications received after 3:00 pm Mll be processed the next btisirias*t'day. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact,EHL)at the riurnber noted above. <br /> 3. The EHO will notify the applicant if any F-HD alas exist. An appointment for review will Na confirrried approximately IL'Sn(10) <br /> days after receipt of application. The fileswill he hold for a rnemimum of 1`ivla biosiness days for review. Appointi-lent; <br /> should be scheduled accordingly. <br /> 4. Any file not returned in the same condition Ps relapsed will be reorganized by EHD staff at the erpense of the applicant. <br /> Future 911 e reviews by the Sarnia applicant inay require a$130 deposit prior to review. <br /> VVELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRI.D.AYB:GDAf-A-i:OGPM(EXCLLID�NIGHOLi.DAYS) <br /> e ,,- I. information: [�-j List El M.ap- Description: <br /> Speciflic Date Range of Information Requestcd.- From to <br /> L <br /> El, .0idWil <br /> Kift <br /> r, ISE <br /> FILE ADDRESS <br /> EH D. U ON <br /> UNDERGROUNC)TANK(UST) Street 9 Street Name C fty <br /> CLEANUP SITE(Lop) <br /> II <br /> 5 •OTHER CLEANUP SITE{NON,-LOP) 1 1565 MacArthur Drive INI <br /> Tracy <br /> [,ZRAMOMIS WASM <br /> PEPIMMED RNCIVrY 2 <br /> VABCiVMROLM)TAA. ii <br /> rj PW', <br /> AZAROOLIS NIATERL-LE, 3 <br /> gg <br /> FJSPILLIRM.Er,�E RESPONSE — <br /> ySr1L1rJ1A,AsTr FPVCLM-I'VEHICLE .1 <br /> F000 FACILI-'( tw . <br /> Fl <br /> I W-111 <br /> om I SPA <br /> 0 DAfi'f <br /> &�LANU USE APPLICATION SITES <br /> :110'SEPTIC FUmI'E:F(-I kUCIC j <br /> YARD!CHFamAL Tam-E-Ts <br /> VVVAS7EWATF-R TPEATMENT PL/,NT <br /> 1�]HOUSING ABATEOENT 7 <br /> Ej f&j-rrL1HL1TE:L <br /> 0 CHICKEN RANCH I DCG KENNFL HA;I-ttA.T <br /> 5; MELMAL WASTE FACIL171 <br /> El 1'ATT001B--y P!E-II- <br /> 1P.E <br /> GO-MIPLAW <br /> L]OTHER(PLEASE SF1---IFV): <br /> Accou rj n N1.3 <br /> AREA-EHD USE ONLY'"'* <br /> --------- <br /> [3 Records providea by Staff-PRR-G-qmPlete. -St-affName: <br /> Received Time Jun, 6, 201(1" !0. 0046 <br />