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06/18/2013 8:04PM FAX 3108540199 <br /> X10001/0001 <br /> A Ef E,GE iJED _ EHD LOG NUNABER <br /> IIISE SAV JOAQUIN COUNTY <br /> Wo ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUN 19 2713 1868 East Hazelton Avenue,Stockton, CA 95205-6232 <br /> Telephone: (209) 466-3420 Fax: (209) 464-0138 Web: vArwj.$)gov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Lauren Sagun BUSINESS/AGENCY: Andersen Environmental <br /> ADDRESS: 5261 West Imperial Highway GITy/STATErzip: Los Angeles, CA 90045 <br /> PHONE(1): 310-904-8529 PHONE(2): 310-854-6300 FACSirt1ILE: 310-854-0199 <br /> iENITATIVE*A.PPCINTMENT DATE: 06/25/13-06/27/13 Time: Morning <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ OHECK BOX TO EXPEDITE'TO9 $125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT I'X III <br /> DATE 06114/13 <br /> Electronic information: ❑ List-E�Ma-6`-tescription: <br /> FILE ADDRESS EHD USE ONLY <br /> ......- -...-.... <br /> Street# € Street Name City <br /> I I Unit 1 <br /> l-A 1. 3836 NeNewtonton Road Stocktonvi <br /> " .............' ..--................... --'.......-------......-..............................-------. ............................--'-- ....... <br /> 2. 3932 ; Newton Road <br /> ^ Stockton uk AA V1 (,Ds]Unit 2 , <br /> 3. I <br /> 4. I / <br /> '�Unit 3 <br /> 5. <br /> 6. <br /> ... ..........._........................................' ' unit 4 <br /> .................... <br /> ........................' • ....................... '----------- <br /> 7. <br /> 8. <br /> ................................................ - - -.............._.............._ _.....--.-.......-... _...._..-- Unit5 <br /> - .-......-- -------.._..---._.......... -- ----...._.....-......_.. ' <br /> 9. <br /> 10. € <br /> 1 ❑unit 6 <br /> Specific Date Range of Information Requested: From all to Nil <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROU14D TANK(UST)CLEANUP SITE(LOP) El MEDICAL WASTE FACILITY ❑SOLID WASTE FAC iTfYIVEN j <br /> OTHER CLEA14UP SITE(NON-LOP) ❑HOUSING ABATEWNT E]WASTE TIRE ,q <br /> UNDERGROUND TANK(110OWTORfNGIREMVAL)/' ❑i FOOD FACILITY ❑DAIRY '- <br /> ABOVEGROUND TANK r}- E]cmcKEN RANCHI DOG KENNEL ❑WASTEWATER�REATP°1ENT 4ANT <br /> iM HAZARDOUS WASTEIHAZARDOUS MATERIAL ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY 1�POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATFOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REviEw: MONDAY-FRIDAY 8:00&4-5:00PNI(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-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 revieww€I€ 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. Anyf€le 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. �wSOXED ARES=EHD List ONLY <br /> y , <br /> AW <br /> T t` 3r <br /> J Rec€tc#s provided b S .. Staft Iza <br /> Received Time Jun. 18. 201, : 02PM No. 3432 SAM2 <br />