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i.. EHD LOG NUMBER <br /> �XT,E RECE DE SAN JOAQUIN COUNTY <br /> � Lf . I <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> P� 1868 East Hazelton Avenue, Stockton, CA 952C5-6232 <br /> AUG 2 Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.$)gcv.orglehd <br /> r�n,rGr~nthl FFl~i+iTALt - PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Lone Diaz-Llcdicoat SUSINESSIAGENCY: Trio Real Estate, Inc. <br /> ADDRESS: 3202 W. March Lane, Suite A CiTYISTATEICIP: Stockton, CA 95219 <br /> PHONE(1): (209)915 9913 PHONE (2): FAX OR E-MAIL: lorledlazliddicoata@gmall.com <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-$139 F OR CHECK ONLY) •REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 8/24/2016 <br /> 1. List u to ten addresses in the space bei S lett the type(s) of files from the list below by checking the appropriate <br /> box(es). At least one file type MUST be Is ected. 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 far 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$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Ai+ -5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map—Description: 1624 E. A 112ine Avenue Stockton CA I APN: 117-086-006 <br /> Specific Date Range of Information Requested: From 1999 to Current Coate R 24-16 <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS EHD USE ONLY <br /> FILES <br /> UNDERrRCUND TANK(UST) Street# Street Narne City <br /> WOOD <br /> ` ��,/{A (fie //'�y'� E]CONSUMER <br /> CLEANUP SITE(LOP) J{4 RyM{ rt,J��niyVJ��� V{J <br /> {{ f-E ,- - . <br /> OTHER CLEANUP SITE(NON-LOP) ' ��?�� v 3'!�j5�'� �- [r <br /> HAZARDOUS WASTE E1 DAIRY <br /> ix TIERED PERMITTED FACILITY 2 <br /> ABOVEGROUND TANK <br /> ❑PWS. <br /> UST (MONITORING 1 REMOVAL) <br /> HAZARDOUS MATERIALS 3 <br /> l t <br /> SPILLrRELEASE RESPONSE E31WATER QUALITY <br /> SOLID WASTE FACILITY I VEHICLE 4 p� IA nJ1l 1` �, �I V <br /> FOOD FACILITY 1XIJ dal 11 <br /> $ITE MITIGATION <br /> ❑, <br /> POOL/SPA <br /> DAIRY 5 <br /> l:J LAND USE APPLICATION SITES HOUSINI <br /> ©SEPTIC PUMPER TRUCK J <br /> 5 <br /> YARD 1 CHEMICAL TOILETS } <br /> ®WASTEWATER TREATMENT PLANT iCUPA <br /> HOUSING ABATEMENT 7 <br /> MOTEL1HOTEL _ f <br /> - ®'GUPA-UST <br /> CHIGKEN RANCH 7 DOG KENNEL <br /> MEDICAL WASTE FACILITY 6 <br /> IJ TATTCOIBODY PIERCING ®SOLID WASTE <br /> Q WASTE TIRE <br /> t.J COMPLAINT <br /> OTHER(PLEASE SPECIrY): ❑AGCOl1NTING <br /> 14 <br /> Any contarninatlon infofmatkon <br /> —BOXED AREA-EHD USE ONLY" <br /> ® Records provided by Staff-PPR Complete. staff Name: 1 <br /> EHD 48-Ofi <br />