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DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER JUN ? 9 2075 ENVIRONMENTAL HEALTH DEPARTMENT fi 1868 East Hazelton Avenue, Stockton, CA 95205-6232 �A �lTA7-A TE-,,-qI phone: (209) 468-3420 Fax: 209 ✓✓✓�� ( )464-01 38 Web: www.$)gov.org/ehd PUBLIC RECORDS RELEASE APPLICATION APPLICANT: STASON FOSTER BUSINESS/AGENCY:CORNERSTONE EARTH GROUP ADDRESS: 1526 MACKEY AVE CITY/STATE/ZIP: SAN JOSE CA 95125 PHONE(1): 408-712-8866 PHONE (2): FACSIMILE: a13-1.1x/ -Ce- Please ePlease allow 10 business days from date of application submittal for the records to be available. Staff will contact you to arrange an appointment date and time to review the requested records, ❑ CHECK BOX TO EXPEDITE REO 1 0 FEE ASH OR CHECK ONLY)-REQUEST"PROCESSED IN BUSINESS DAYS SIGNATURE OF APPLICANT__ DATE 0 - j 20I g'- Im- Electronic Information, ❑ List❑Map—Description: FILE ADDRESS END USE ONLY Street 9— Street Name City []Unit 1 1 2131 E- Louise Avenue thro 2. 2301 E. Louise Avenue _ Lathrop p unit 3. 2112 _ E. Louise Avenue Lathrop 4.._—....... -- - —----....--- - ---- .- --- ❑Unit 3 r 5. _-.. 171 SITE MITIGATION / 6. 7. S. J Unit 6 ❑Unit Specific Date Range of Information RegUOMOCt: From _I.4 to ENVIRONMENTAL HEALTH DEPARTMENT FILES VUNDEROROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITY/VEHICLE tA OTHER CLEANUP SrTE(NON-LOP) ❑r HOUSING ABATEMENT ❑WASTE TIRE UNDERGROUND TANK(MONITORINGIREMOVAL) EI FOOD FACILITY ❑DAIRY ABOVEGROUND TANK ❑CHICKEN RANCW D00 KENNEL ❑WASTEWATER TREATMENT PLANT HAzARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEUHOTEL ❑PUMPER TRUCK/YARDICHEMicAL TOILETS IERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES TATTOO/BODY PIERCING ACOMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:OOPM(EXCLUDING HOLIDAYS) 1. Ll% to ten addrgsggs In the space above. Select the type(s)of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)4t}4-Q1n gr mall to the addras IndlCated above. Address ranges will not be accepted,Applications received after 3:00 pin will he processed the next business day. 2. For assistance in Identifying the nature and content of FHD records,please contact EHD at the number noted above. 3. The EHD will notlfy the applicant If any END files exist_ An appointment for review will be confirmed approximately ten (10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 4. Any file not returned in the some condition as released will be reorganized by EHD staff at the expense of the applicant. Future fife reviews by the same applicant may require a$125 deposit prior to review. *"BOXED AREA-EHD USE ONLY", ❑ Records provided by Staff-PPR Complete. Staff Name: EHD 4ad6 5/1117H D,.,... —,J T;— , 1— Q only 7- n7pM NA Qaid