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Y10-17-2016 01:47pm From-KLEINFELDER +9497279242 T-101 P.001/001 F-003 <br />%E IAC <br />N EHD LOG NUMBER <br />■ DATE�lvo7 2016 SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />F"RCW. EWALF4F.ALTH 1868 East Hazelton Avenue, Stockton, CA 95205-6232 I <br />PE1WSCF�+e�RVtGES p ( <br />Telephone: 209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd g <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Margaret Carroll BUSINESS/AGENCY: Kleinfelder <br />ADDRESS: 2 A ia, Suite 0 CITY/STATE/ZIP: Irvine, CA 92618 <br />PHONE (1): 949-565-3130 PHONE (2): FAX OR E-MAIL: mcarrollgkleinfelder.com <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 />❑ GFiECK BOK TO_EXPEDI fE RQuEST - $139 EE (CASH CHECK ONLY) .R€QUEST PROCESSED IN 3 -BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE 10-17-16 <br />1. List up to ten addresses in t espagAbelow. Select the e(s) of files from the list below 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 behold 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 $139 deposit prior to review. <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br />Electronic Information: j] List ❑ Map - Description: <br />SoeciFc Date Range of Information Requested: From to <br />ENVIRONMENTAL <br />FILE ADDRESS <br />EHD USE ONLY <br />.5ALTHDEPARTMENT <br />FILES <br />�. UNDERGROUND TANK (UST) <br />street # <br />Street Name <br />city <br />161 <br />E. Transportation Ct <br />p <br />French Camp <br />❑ CONEuMER <br />C <br />CLEANUP SITE (I.OP)14 <br />OTnER CLEANUP SITE (NDN -LOP) <br />lq HAZARDOUS WASTE <br />❑DAIRY <br />TIERED PERMITTED FACILITY <br />L� <br />100 <br />E. Transportation Ct <br />French Cam p <br />• '+ J <br />® ABOVEGROUND TANK <br />❑ FWS <br />® UST (MONITORING /REMOVAL) <br />101 <br />E. Transportation Ct <br />French Camp <br />K �— <br />® HAZARDOUS MATERIALS <br />QI SPII.L1FZELEASC RESPONSE <br />WATER QUALITY <br />FA SOLID WASTE FACILITY/VEHICLE <br />10182 <br />S• Harlan Road <br />French Camp-� <br />/ <br />M FOOD FACILITY <br />SITE MITIGATION <br />Pool / SPA <br />�� <br />I -J OAIi4Y <br />6 <br />LAND USE APPLIcnYION SITES <br />5-cPTlc PUMPERTRLjcK/ <br />1 p HOUSING <br />YARD / CHEMICAL TOILETS <br />WASTEWATER TREATMENT PLANT <br />CUPA <br />HOUSING ABATEMCNT <br />y <br />❑ MOTEL/HOTEL <br />CUPA - LIST <br />11 CHICKEN RANCH / DOa KCNNEL <br />E] MEDICAL WASTE FACILITY <br />9 <br />F-1 TAT700/1�00Y PIERCING <br />SouO WASTF <br />[] WASTE TIRE <br />9 <br />E] COMPLAINT <br />F]GTHLR(PLEASE SPECIFY): <br />ACOOUNTING <br />10 <br />' 9DXED AREA - END USF ONLY <br />L� <br />❑ Records provided by Staff -PPR Complete. scarf N--: <br />Received Time=Oct, 17.-2016— 1:42PM_No, 0172 <br />MAN <br />`jv <br />a <br />