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DATE RECEIVED ` EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY J J- <br /> ENVIRONMENTAL HEALTH ®EPARTM j <br /> . r f/In� Zq <br /> GJL(, �, r <br /> V y C, -�` ' / 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: RUSSELL PATERSON BUSINESS/AGENCY: AECOM <br /> ADDRESS: TWO CITY CENTER, SUITE 200 CITY/STATE/ZIP: PORTLAND, ME 04101 <br /> PHONE (1): 207-613-5110 PHONE (2): FACSIMILE: 207-761-0963 <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 ! l )i%ii i.ti i -(✓Ik: t'7"' t i,' ,i,=' �i''�/;r�,,�" DATE <br /> - <br /> Electronic Information: ❑ List❑ Map 213escription: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. 3131, 2901 ARCH AIRPORT STOCKTON 9��^e(' �5 I v L`�1,l�6 i d°�l�- %G <br /> 2. 2750/ E ARCH AIRPORT ILAf ❑Unit 2 <br /> Mrs CNl A �,'T- vtq c , <br /> 3. 4728,4805 QANTAS _ <br /> 4. 4733/S HWY 99 FR I NIuJ 5 tT, r dto <br /> ��'-1nit 3 <br /> 5. 4812,4874 1 S HWY 99 FR 0-SITE MITIGATION <br /> 6. 4909/S HWY 99 FR __❑_-Unit 4 <br /> 7. 2922 TRANSWORLD <br /> 8. 3012 TRANSWORLDIllF(= 1 \)w rand,0 ] Units <br /> 9. 3066 TRANSWORLD k/('I` %V1_1 CV, <br /> 10. 3104 TRANSWORLD )rr -���� ❑ Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ® UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ® ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ® HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ® TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®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 files 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$125 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> +'>�iJ. -)5 �IleJl P a� 4LOS nea J,A 6t e <br /> [bvllle,� %A g l/l� C®� °+r, C 31 / 31 1 ki K4 0A JK CD. Lai. a`w,� Co t7 jcn1, i 5 ieAC <br /> a-Lj File ��3 I °Ik. prvvrJ.s9- f F Lr `{71A Q". \A,&CD "WeS (IST <br /> ❑ Records provided by tall-PPR Complete. Staff Name: Vlj&t <br /> EHD 48-06 5/t 1115 <br />