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0106/2017 3:03 PM 14159529421 >12094640138 1) 1 <br /> EHD LOG NUMBER <br /> :. DATE RECEIVED SAN JOAQUIN COUNTY <br /> 000 RECEIV ENVIRONMENTAL HEALTH DEPARTMENT I� <br /> °e o / /1 <br /> 4>> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 ^►Vi <br /> Jt� (J 6 2A ele`phone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd l� l <br /> • ENVIaoMANTAttlr F! PUBLIC RECORDS RELEASE APPLICATION <br /> BERNMAPPLICANT: David Gerhardstein BUSINESS/AGENCY: Partner ESI <br /> ADDRESS: 111 Pine St, STE. 1750 CITY/STATE2IP: San Francisco, CA 94111 <br /> PHONE(1): 415 .599 . 1184 _ PHONE (2): FAX OR E-MAIL: <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 /> ❑'.CHECKBOXTOEXPERITEREQUEST•$130FEEI(CASHOR�CME 'CKLY) DAYS <br /> SIGNATURE OF APPLICANT dgerhardstein@partneresi . com - DATE September 6, 2017 \`l <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street p Street Name City <br /> 22559 I .South Airport Yiav Stockton <br /> CuPA h��tv( T <br /> 3. 'u'CL" ' L{ <br /> 4. <br /> 5. <br /> • 6• <br /> 7. <br /> 8. <br /> 9. <br /> 10. V✓c h C2 "`f}v <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MOTELIHOTEL Q SOLID WASTE FAciLITYfvEHK;LE <br /> ©OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑FOOD FACILITY <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL) ®WASTE TIRE ❑DAIRY,POOLISPA <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL Q WASTEWATER TREATMENT PLANT <br /> X❑HAZARDOUS WASTE ❑MEDICAL WASTE FACILITY ❑PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> Q HAZARDOUS MATERIALS ❑TATTOOMODY PIERCING ©LAND USE APPLICATION SITES <br /> Q TIERED PERMITTED FACILITY ❑X COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM•S:OOPM 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 len(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. <br /> ""BOXED AREA-EHD USE ONLY" <br /> n oe .ateyr—. .+e a b c.�f._uoo r . te.e Statt me: <br /> Received Ti P. 6. =2017- 2: 58PN°110, LLZO <br />