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MmSan Joaquin Page 1 of 1 2015-09-01 00:37:33 (GMT) 1 81 8350001 4 From: Lee Comer <br />Qa <br />®� DATE RECEIVED EHD LOG NUMBER <br />®aa RECEIVE SAN JOAQUIN COUNTY <br />Lies \JCE ENVIRONMENTAL HEALTH DEPARTMENT VNIT <br />SEP p 1 201ii1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />elephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />eMRONMENTAL HEALTH PUBLIC RECORDS RELEASE APPLICATION <br />PERMIPSERVICES <br />APPLICANT. Lee Comer BUSINESSIAGENCY: Acer Rnvironmenral <br />ADDRESS: 11693 Sheldon St. #3 <br />CITYISTATEIZIP:Sun Valley, CA 91352 <br />PHONE (1): 818.839.2237 PHONE (2): FACSIMILE: 818.350. 0014 <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 <br />DATE 8-30-15 <br />Electronic Information: ❑ List ❑ Map - Description: <br />FILE ADDRESS <br />Street # i Street Name City <br />EHU USE ONLY <br />1. <br />2651 <br />S. Airport Way <br />Stockton <br />n D�n <br />LOP )'r"e oS Z J ❑Unit 1 <br />2. <br />3. <br />Unit 2 <br />4. <br />_ <br />OWitilet CO ❑Unit 2H <br />5. <br />7 Unit3 <br />6. <br />7. <br />Unit 4 <br />6' <br />SITE MITIGATION <br />9. <br />S3/Unit 5 <br />10. <br />j <br />Specific Date Range of Information Requested: From ,ian ly4u to present <br />r ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />LJ UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY ® SOLD WASTE FACIUTYIVEHICLE <br />® OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT ❑ WASTE TIRE <br />© UNDERGROUND TANK (MONrfORINGIREMOVAL) ❑ FOOD FACILITY ❑ DAIRY <br />© ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL ❑ WASTEWATER TREATMENT PLANT <br />® HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTELIHOTEL Ej PUMPER TRUCKIYARDICHEMICAL TOILETS <br />❑ TIERED PERMITTED FACILITY ❑ POOUSPA ❑ LAND USE APPLICATION SITES <br />❑ TATTOO/BODY PIERCING K.i 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 riles 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 />f JV' Ac), LOP Olt k ter I A;q%r+ _ Lo - <br />El <br />-❑ Records provided by Staff -PPR Complete. staff Name: <br />EHD VENO nv+S <br />Received Time Aug.31. 2015 5:37PM No.9452 <br />q/to <br />