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-o: Page 3 of 11 2015-10-12 20:44:03 (GMT) 14155205858 From: Carrie Locke DATERECEIVED EHD LOG NUMBER SAN JOAQUIN COUNTY In; ENVIRONMENTAL HEALTH DEPARTMENT NOV 0 9 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: wvvw.sjgov.org/e a` N PUBLIC RELEASE APPLICATION COPI IONMENTALHEALTH APPLICANT: Carrie Locke BUSINESSIAGENCY: AEI Consultants ADDRESS: 1819 Jackson Street, Apt. 4 CITYISTATE/ZIP: San Francisco, CA 94109 PHONE (1): 415-505-8090 PHONE (2): FACSIMILE: 415-520-5858 Please 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 REQUEST- $130 FEF;1;c;ASH OR CHECK ONLY)- REQUEST PROCESSED IN 3 BUSINESS DAYS SIGNATURE OF APPLICANT - -4 t -. , DATE October 12, 2015 Electronic information: ❑,List ❑ Map - Description: Specific Date Range of Information Requested: From Earliest to Latest ENVIRONMENTAL HEALTH DEPARTMENT FILES ® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ® MEDICAL WASTE FACILITYX❑ SOLID WASTE FACILITYIVEHICLE�1 ® OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT ❑X WASTE TIRE UNDERGROUND TANK (MON!TORINGIREMOWL) ❑ FOOD FACILITY ❑ DAIRY ® ABOVEGROUND TANK ❑ CHICKEN RANCH( DOG KENNEL ® WASTEWATER TREATMENT PLANT ® HAZARDOUS WASTE/HAZARDOUS MATERIALS ❑ MOTEL/HOTEL PUMPER TRUCK/YARDICHEMICAL TOILETS ® TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES ❑ TATTOOIBODY PIERCING ® COMP LAI WIRES PONS RECORDS ❑ OTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) 1. List up to ten addresses 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) 464-0138 or mail to the address indicated above. Address ranges will not be accepted. Applications received after 3:00 pm will be processed the next business day. 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted above. 3. The EHD will notify the applicant if any EHD 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 same condition as released will be reorganized by EHD staff at the expense of the applicant Future file reviews by the same applicant may require a $125 deposit prior to review. ***BOXED AREA - EHD USE ONLY*** Received Time Oct.12. 2015 1:44PM No.9764 FILE ADDRESS EHD USE ONLY ❑ Unit 1 Street # I Street Name city 1. 610 North Wilson Way Stockton 0 (snit 2 2• I' 612 I North Wilson Way . �++-........._. --------------— Stockton 3 61d North Wilson Way Stockton l . Unit 3 q 618 j North Wilson Way Stockton 620 North Wilson Way n Ira{ UJ k - Stockton — f MITIGATION TION O. 622 Noah Wilson Way i Stockton w nit 4 7. 626 North Wilson Way ---....... Stockton 12 Unit 5 8. 628 i North Wilson Way Stockton 9. 630 North Wilson Way Stockton 10. 632 Norah Wilson Way Stockton Specific Date Range of Information Requested: From Earliest to Latest ENVIRONMENTAL HEALTH DEPARTMENT FILES ® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ® MEDICAL WASTE FACILITYX❑ SOLID WASTE FACILITYIVEHICLE�1 ® OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT ❑X WASTE TIRE UNDERGROUND TANK (MON!TORINGIREMOWL) ❑ FOOD FACILITY ❑ DAIRY ® ABOVEGROUND TANK ❑ CHICKEN RANCH( DOG KENNEL ® WASTEWATER TREATMENT PLANT ® HAZARDOUS WASTE/HAZARDOUS MATERIALS ❑ MOTEL/HOTEL PUMPER TRUCK/YARDICHEMICAL TOILETS ® TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES ❑ TATTOOIBODY PIERCING ® COMP LAI WIRES PONS RECORDS ❑ OTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) 1. List up to ten addresses 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) 464-0138 or mail to the address indicated above. Address ranges will not be accepted. Applications received after 3:00 pm will be processed the next business day. 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted above. 3. The EHD will notify the applicant if any EHD 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 same condition as released will be reorganized by EHD staff at the expense of the applicant Future file reviews by the same applicant may require a $125 deposit prior to review. ***BOXED AREA - EHD USE ONLY*** Received Time Oct.12. 2015 1:44PM No.9764