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DATE RECEIVED16 SAN 0 EHD LOG NUMBER <br />� .IOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />JUN 13 2� tn� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Yelephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: STEPHANIE LIGUORI BUSINESS/AGENCY: URS CORPORATION <br />ADDRESS: 12420 MILESTONE CENTER DR., SUITE 150 CITYISTATE/ZIP: GERMANTOWN, MD 20876 <br />PHONE (1): 301-820-3233 PHONE (2): 301-820-3000 <br />FACSIMILE: 301-820-3009 <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 />❑ CHECK BOX TO EXPEDITE REQUEST- $130 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT UNAVAILABLE, SEE ATTACHED DATE 7/14/15 <br />Electronic Information: ❑ List ❑ Map - Description: <br />FILE ADDRESS <br />— <br />EHD USE ONLY <br />1 2- <br />Street# <br />- <br />Street Name <br />City <br />1. <br />2222/S <br />SINCLAIR <br />STOCKTON <br />+^ 5 V <br />❑ Unit 1 <br />2. <br />3. <br />❑ Unit 2 <br />4. <br />❑ Unit 2H <br />-J nit 3 <br />6.yC1leS <br />7. <br />nn <br />'d,%V�/� ❑ Unit4 <br />8. <br />�_l� ❑ SITE MITIGATION <br />9. <br />❑ Unit 5 <br />10. <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />❑ UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY ❑ SOLID WASTE FACILITYNEHICLE <br />❑ OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT ❑ WASTE TIRE <br />® UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ FOOD FACILITY ❑ DAIRY <br />® ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL ❑ WASTEWATER TREATMENT PLANT <br />®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑ PUMPER TRUCKNARDICHEMICAL TOILETS <br />® TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br />❑ TATTOO/BODY PIERCING ❑ COMPLAINTIRESPONSE 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. ***BOXED AREA - EHD USE ONLY*** <br />VQ VSdtd -m-' <br />S'vlda e . <br />❑ Records provided by Staff -PPR Complete. Staff Name: <br />711149 <br />