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::U0/LU11 lU:UO HI1I 191SySGy4L1 D 1LU`J464U136 ® 1 <br /> ECEIVED I* SAN JOAQUIN COUNTY • EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT (60 <br /> MAY 0 ' 2017 1868 East Hazelton Avenue, Stockton, CA 95205-6232 , _ <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ 1 <br /> 14ii/WN11 +TAL F' .ik i --. ; 11 y <br /> PEWITrSEMACES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: David Gerhardstein BUSINESS/AGENCY: Partner ESI <br /> ADDRESS: 11.1 Fine St, STE 1.750 CITY/STATE/ZIP: San Francisco, CA 94111 <br /> PHONE(1): 415 . 599 . 1184 PHONE (2): _ FAX OR E-MAIL: <br /> Please allow 10 business days from date of application submittal for the records to be available, <br /> Staff will contact you to arrange,an appointment date and time to review the requested records. <br /> ❑':eriE,:.K aax r.O.EXPEDITE:REQUEST_$.T30 FEE(CASH;9R CHECK ONLY)_=,REQU ST:PROOI S$S, )(N 3 BUSiINESS.t7AYS <br /> SIGNATURE OF APPLICANT dgerbardstein@partneresi .com DATE May n, 2017 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> ��—��—�--- �—FILE ADDRESS��____._._�_____.__ <br /> Street# Street Name _ City EHD USE ONLY <br /> 1 20500 Holly Drive Tracy �' L4��I <br /> 2 I .yJ w��t T <br /> 3. r <br /> 4. C..Q�— w>rt <br /> 5. i <br /> 6. If <br /> 7. <br /> 177 ell <br /> 8. <br /> Uw SITE MITIGATION <br /> Specific Date Range of Information Requested: From to <br /> EN,VIROtWENTAt':HEALTH;DEPARTMCW,FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MOTEL/HOTEL XD SOLID WASTE FACILITYNEHICLE <br /> ©OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑FoOD FACILITY <br /> Q UNDERGROUND TANK(MONITORING/REMOVAL) ®WASTE TIRE ❑DAIRY,POOUSPA <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ©WASTEWATER TREATMENT PLANT <br /> Y❑HAZARDOUS WASTE ❑MEDICAL WASTE FACILITY ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> Q HAZARDOUS MATERIALS ❑TATTOO/BODY PIERCING ❑LAND USE APPLICATION SITES <br /> Q TIERED PERMITTED FACILITY Q COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEw: MONDAY-FRIDAY 8:00 AM-5:00PM 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.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 scheduled accordingly. <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 /> 4 Z. 1 yU�l I r i <br /> I-1 0n^—rAi r�rw #.Ai A bkr C1+%ff_000 �Orrar.lefn Staff Name: <br /> Received Tine=May. 8. =2017-10: 04AM> No, 1483 <br />