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SAN J O A Q U I N C IVEPvironmental Health Department <br /> -'--- COU N T Y- - Ul�c 'I � 20V PUBLIC RECORDS RELEASE APPLICATION <br /> Greatness ;u 6jb r 3�r 87685 <br /> ENVIRONMENTALVRALT��f EHD LOG NUMBER: <br /> APPLICANT: KIMBERLY S HYDE BUSINESS/AGENCY: DLA PIPER LLP(US) <br /> ADDRESS: 555 MISSION ST,STE 2400 CITY/STATE/ZIP: SAN FRANCISCO, CA 94105 <br /> PHONE(1): 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 /> SIGNATURE OF APPLICANT PROCESSED VIA SUBPOENA BY STAFF, DOM M DATE DECEMBER 14,2017 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s) of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138, mail to the <br /> address indicated below, or email to info(a)sicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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$152 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map— Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> FILES <br /> ®Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) �pnNSNMER <br /> f 2245 W CHARTER WAY STOCKTON llllr / r II .(1 <br /> ®Other Cleanup Site(Non-LOP) '111'rlf� 11• _ �',V <br /> i®Hazardous Waste RtAIRY <br /> ®Tiered Permitted Facility 2 <br /> ®Aboveground Tank S <br /> ®UST (Monitoring I Removal) <br /> 3 <br /> ®Hazardous Meledals <br /> ®Spill/Release ResponseLq�JAMR oUAUTY <br /> ®Solid Waste Facility I Vehide 4 i 71/j q (/('yV <br /> ®Food Facility nE M MOATON �f� <br /> ®Pool/Spa <br /> ®Dairy 5 <br /> ®Land Use Application Sites ousiNc <br /> ®Septic Pumper Truck/ s <br /> Yard I Chemical Toilets <br /> ® PA <br /> Wastewater Treatment Plant �CI HW <br /> AST/HM/HW p <br /> ®Housing Abatement r M l� <br /> ®Motei/Holel L-Iv 6o PA Y <br /> ®Chicken Ranch/Dog Kennel 8 UST <br /> ®Medical Waste Facility <br /> ®Tattoo/Body Piercing prim WASTE <br /> ®Waste Tire a <br /> ®Complaint <br /> ®Other(Please Specify): ❑AccouariNc <br /> to <br /> SEPTIC AND WELL PERMITS <br /> ***BOXED AREA-EHD USE ONLY*** <br /> 'PLEASE HAVE RECORDS READY BEFORE END OF DAY THURSD Y, DECE BER 1. <br /> ✓� <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />