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Prom:STANTEC 9168610421 08/` 11 011 08:32 #079 P.002/002 <br /> RE"NEWED <br /> 'DAOt <br /> TE RECEIVED _ L r�p i EHD LOG NUMBER <br /> U!1 SAN JOAQUIN COUNTY <br /> RE f Ell " ENVIRONMENTAL HEALTH DEPARTMENT <br /> Lk�V e4rei ME A WY Main Street, Stockton, CA 95202-3029 <br /> HUu FT Coif Te�lephdti ��t 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENu,�i3 Ivrp�l" LHEALTh4 PUBLIC RECORDS RELEASE APPLICATION dGa°s� l � �t�tnd ;r <br /> In <br /> P APPLiIAN anleile Manning BUSINESS/AGENCY: Stantec Consulting Corporation <br /> ADDRESS: 3017 Kilgore Road, Suite 100 City/State/zip Rancho Cordova, CA 95670 <br /> PHONE(1): (916)384-0706 PHONE(2): (916)281-4942 FACSIMILE: (916)861-0430 <br /> TENTATIVE*APPOINTMENT DATE: September 7, 2011 Time: 10:00 am <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITIZRUEST-$105 FFEE(CASH R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �! ��� DATEaL <br /> Electronic Information: ❑ List E] Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> Unit 1 <br /> F3. <br /> 3202 West Hammer Lane Stockton (j <br /> ❑ Unit 2 <br /> U -4 — Unit 3 ✓ <br /> 5. <br /> (i —. __. --- -------- Unit 4 <br /> -- . <br /> 7. <br /> __ __--_-- ❑ Unit 5 <br /> 8. <br /> 9. <br /> ❑ Unit 6 <br /> 10. <br /> Specific Date Flange of Information Requested:From 1885 to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES & <br /> M UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT O SOLID WASTE FACILITYNEHICLE <br /> ID OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE 'tel hi 7 <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL)t�t� I-1 DOG KENNEL ❑DAIRY c` <br /> ®HAZARDOUS WASTE GENERATOR X,, ❑CHICKEN RANCH 13 WASTEWATER TREATMENT PLANT t04- �{ I/ <br /> 91 TIERED PERMITTED FACILITY 13MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS _' Fj t <br /> 13 TATTOO/BODY PIERCING d POOL/SPA 0 LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 8:00 AM-S:OOpM - 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 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 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$105 deposit prior to review. <br /> nn EHD USE ONLY <br /> , y <br /> s <br /> EHD 48-06 8104/08 PUBLIC RECORDS RELEASE APP FORM <br />