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1 08/27/2013 TUE 9: 46 FAX 2094F,82999 SJC Public works 0001/001 <br /> _ ---—� ----- --- — - - <br /> FD <br /> o❑ NEE SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG 2 9 �� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 ��1 �, <br /> e`Tephone: (209)468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd u <br /> TH <br /> EN pE n 1 ,F-PMCrSL <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Mark Hopkins. BUSINESS/AGENCY:San Joaquin County Public Works <br /> ADDRESS: 1810 East Hazelton Avenue CITY/STATE/ZIP:Stockton,CA 95205 <br /> PHONE(1): (209)468-3085 PHONE (2): FACSIMILE:(209)468-2999 <br /> TENTATIVE*APPO I NTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$12 FEE(GASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT / - �v DATE -3 <br /> Electronic information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name cityAD nit 1 <br /> 1. 2512 Waterloo Rd. Stockton U <br /> 2. 2484 o- Waterloo Rd. Stockton _Ip'unit z I/ <br /> 3. 2489 Waterloo Rd. Stockton I,'�SI .L ,e / <br /> 4. 2503 Waterloo Rd. Stockton C994NAt p unit 3 l�� <br /> S. 2701 Wilson Wy. 3<2,6 Stockton a I4�S CCS1v� log � 0 <br /> 6. 2901 �,iWilson Wy. Stockton Unit a <br /> 7. 2802 IN Wy. Stockton <br /> 8. 2662 Wilson Wy. 352,jj.=- Stockton 0 unit 5. <br /> 9. 3305 AIR Wilson Wy. Stockton <br /> 10. 3250 VAqp Wilson Wy. Stockton , Unit it s <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT ❑❑ SOLID WASTE FACILITYNEHICLE <br /> CE OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> F5 UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL 0 DAIRY <br /> Q HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH 0WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY F-1MOTELIHOTEL Q PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA EOLAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT 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 typo(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)464-013.8 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$125 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-D6 - <br /> 8NN1 <br /> Received Time Aug. 27, 2013 9:37AM No. 3929 <br />