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EV 03/13/2013 WED 13: 09 FAX wool <br /> 01 <br /> EHD LOG NUMBER <br /> F'REL'�EI�ED'��� �� SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT �r� <br /> MAR 13 2013 1868 East Hazelton Avenue, Stockton, CA 95205.6232 <br /> Telephone: (209) 468-3420 Fax: (209) 454-0138 Web:www,sjgov:org/ehd <br /> ENS RONMENTALHEALTR <br /> PEIWTISERWES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Jacob Lee BUSINESS/AGENCY: Cornerstone Earth Group <br /> ADpREss 1-27OSringbrook-Road,,Suite 101— CITY/STATFZIP:Wanut-O CA/94597 - <br /> PHONE(1): - 925-988-9500 PHONE(2):408-690-1217 FACSIMILE: 925-988-9501 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> I (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> []CHECK BOX TO EXPEDITE REQ NE�ST-$U125 EE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS PAYS <br /> SIGNATURE OF APPLICANT (I�tgiQ � � DATE 3113/I-r <br /> Electronic Information: ❑List❑Map•-Description: <br /> FILE ADDRESS EHD USE ONLY / <br /> Street p Street Name City _ _ ,❑Unit 1 <br /> 1• 2368 Woodward Ave V) Manteca <br /> 2. 2240 Woodward Ave Manteca '1:Dnit 2. <br /> 3. 20601 Woodward Ave Manteca / <br /> 4. 20611 Woodward Ave Manteca , l7Unit3 ���� <br /> S. <br /> 8, Unit 4 <br /> 7. — <br /> 8. ❑Unit 5 <br /> Specific Date Range of Information Requested: From Au— to W <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> gUNDEROROuND TANK(UST)CLEANUPSITE(LOP) FIXMEDICAI_WASTE FACILITY ®SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) M HOUSING ABATEMENTWASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) El FOOD FACILITY DAIRY <br /> ABOVEGROUND TANK L]CHICKEN RANCH/DOG KENNEL 'Rr ASTEWATER TREATMENT PLANT <br /> � AZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL SPUMPER TRUCKIYARDICHEMICAL TOILETS <br /> I IERED PERMITTED FACILITY ❑POOLISPA LAND USE APPLICATION SITES <br /> TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the apace above. Select the type($)of files from the list above by checking the appropriate <br /> bOx(es). At least one file type MUST be selected. Fax to(208)464-0138 or mall to the addre2a 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 ton(1 D) <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 aVallable. <br /> 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expensa of the applicant. <br /> Future file reviews by the some applicant may require a$125 deposit prior to review. (`"'BOXED AREA- EHD USE ONLY, <br /> I <br /> ❑.Records provided by Staff-PPR Complete.stag Name: <br /> 914/12 <br /> FHf1 d0..Ofl <br />