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DATE RECEIVED EHD LOG NUMBER <br /> ( I, SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ofv- t'jt l_ 11368 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PU13LIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Terry Nephew t ephew kleinfelder.com BUSINESS/AGENCY: Kleinfelder <br /> ADDRESS: 5125 N. Gates Ave., Ste 102 CITY/STATE/ZIP: Fresno, CA 93722 <br /> PHONE (1): 559-577-1459 PHONE (2):559-647-3842 FACSIMILE:559-442-5081 <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 REQUEST-$125,:FEE.(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT r / I�z%)��--` i. �f/.may'!%� �%r`� � - ` -DATE ��''_ ��`� <br /> Electronic Information: ❑ Li 3t❑ Map--Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# 3treet Name City 1 <br /> 1. 400 East Main St. Stockton 5 ��� a4117 <br /> 2. 47 South San Joac uin St. Stockton F��U1 jt/1AJOC-06Z [I Unit 2 <br /> 3. 236 East Miner Ave f Stockton N�l)J),{3c r Uv W9. <br /> 4. 700 East Market St. Stockton <br /> {Mllili V ❑`Unit 3 loll <br /> 5. 400 South Aurora Stockton uyT' C()- /(.5 liW4-C ' <br /> 6. 521 East Main Stockton <br /> ❑-Unit 4 /? <br /> 632 South EI Dorado Street Stockton it e(go J <br /> 8. 423 North Madison StocktonE-(b <br /> - l ❑ unit 5 <br /> 9. 402 West Weber AveStockton p (�Diyo <br /> 10. 40 Lincoln Street 0 Ck ❑ Unit6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYIVEHIICLE 3 <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT [:]WASTE TIRE J�4r'1P 5 (v,-U'j <br /> ®UNDERGROUND TANK(MONITORINGIRE OVAL) ❑FOOD FACILITY ❑DAIRY 1 r (,e, I�� -7 I <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATEI ZIALS,,i_ ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOWBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PE 7 �.� 60 j9 t7y0�(3(�Ot S10E, i n tt-W f, e (CLUDING HOLIDAYS) <br /> 1. List up to ten addr u�p *16Li U)603rL �Propb S,5j'I►r�i �/zV/Du o1/�� La9oZ�ecll 1 the appropriate <br /> box(es). At least c CN 1'rG(�(�5, re CeA'(-7i- f,O/rr Clem L4P) i n US?(�,I_:> :d above. Address <br /> ranges will not be fit' '_a_ CO Ice 3"'30.1 QPj 5 i06a)d- co 40 35 3050t-5 06 ons received after <br /> 3:00 pm will be pn y� I0/1 ��D1� 0 A C,D44u+17ed titA Ale- "� <br /> 2. The EHD will notif 5 d C�6O�y �� s � �� ` approximately ten (10) <br /> days after receipt (93 2 C-1 ted°- u��2� (rP1 1�, 03`J S-7&O'o(05°t e Q rryJ v Appointments <br /> should be schedu �nt ) F,le FO r' f e a 6 Iu�lI5, ,nHIZ <br /> ) <br /> 3. A file that is activ( �- LQ 003 (06-7 �'qj 510(¢ 3/7o/i5 jw application may be <br /> submitted whentl C (61, pile 3.- %L . Uro <br /> 4. Any file not returr q ZO /Nd D�- Cot USS q��P+SIa(o�'n � '��a se of the applicant. <br /> Future file review! i icant may require a$125 deposit prior to review_ `**BOXED AREA-EHD USE ONLY" <br /> t0- -I nOv` i r,'el 0'j-5 (-)'�_2 e-I ilialf) No <br /> illld I,,. z cI v T- v s zc a w 1 {-6r y iu, qq rn <br /> P1J -'dv M, r - <br /> - c� s to r7 <br /> . ,<, <br /> rWn AR_nr 12119112 <br />