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MAR-04-2016 FRI 08:55 AM Moore Twining Associates FAX N0, 559 268 7126 P. 01/01 <br /> EHD LOG NUMBER <br /> IRr. D �% SAID JOAQUIN COUNTY <br /> . � MAR 0"1 20 6 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> EWRCNME TlLif@jC.Whone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov,org/ehd <br /> PERMITISEWCES FILE C <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Adam Inman BUSINESS/AGENCY:Moore Twining Associates <br /> ADDRESS: 2527 Fresno Street CITY/STATE/ZIP:Fresno, Ca 93721 <br /> PHONE (1): 800-268-7021 PHOEBE(2): FAX OR E-MAIL: Adaml@mooretwining.com <br /> Please allow 10-business days from date of application submittal for the recdrds to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> 7,71.CHECK BOX TO,EXP.EDITE REQU T=.$130 FEE ,. CHECK_ONLY).-REQUEST PROCESSED:IN 3.:13USINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 3/4/2016 <br /> Elec'tro'nic In.,. _. .. <br /> formation: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street# Street Name City <br /> 1' 2350 West Kettleman Lane Lodi <br /> 0unit 1 <br /> 2. `17Y0 14& _ <br /> I;J <br /> 3, // ��� rt'�� Q unit 2 , <br /> 4. ❑Unit 2H 1 <br /> l 5. nit 3 1 <br /> >6EYUnit 3HM <br /> 7, ❑ Unit 1 <br /> 8. KITE MITIGATION!9. <br /> 1 <br /> 10. I 0'Unit5 <br /> Specific Dale Range of Inforrnatlon Requested: From All to <br /> EHVIRONMtNTAL1HEALTH DEPARTMENT:FILES. <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MOTEL/HOTEL OLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT 471 FOOD FACILITY <br /> UNDERGROUND TANK(M ONITORI NGIR EM OVAL) IM WASTE TIRE DAIRY,POOL/SPA <br /> ABOVEGROUNOTANK C CHICKEN RANCHI DOG KENNEL et WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTE MEDICAL WASTE FACILITY QtUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> HAZARDOUS MATERIALS TATTOO/BODY PIERCING LAND USE APPLICATION SITES <br /> TIERED PERMITTED FACILITY [`COMPLAINT/RESPONSE RECORDS BOTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List uo 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(2091464-0138 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 behold for a maximum of five business days for review, Appointments <br /> sho„!a tis schedu!ea...cc.-di^g!y. <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$130 deposit prior to review. <br /> ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: I <br /> Received Time Mar, 4. 2016 5.45AM No, 0536 <br />