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tRECE LVED SAN JOAQUIN COUNTY 4) EHD LOGNUTABER <br /> JUL Z 2011 tNVIRONMENTAL HEALTH DEPARTMENT ///A•����Q���Q <br /> 600 East Main St. Stockton, CA 95202-3029 .J <br /> ENVIRONMENTAL HkA Whone: (209)468-3420 Fax: (209) 464-0138 Web: WwW.sjgov.org/ehd J <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Thomas Petersen BUSINESS/AGENCY: Partner Engineering <br /> ADDRESS: 1060 Grant St . CITY/STATE/ZIP: Benicia <br /> PHONE (1): 415-215-5788 PHONE (2): 415-373-6339 FACSIMILE:415-889-6020 <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> I Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ (.HECK BOX TO EXPEDITE REO!.,-'S' -!);<, f F :t:RH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE July 22 , 2011 <br /> Electronic Information: ❑ List❑ Map— Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ❑ Unit 1 <br /> 1. 2020 Grant Line Road Tracy <br /> 2. <br /> ❑ Unit 2 <br /> 3. <br /> 4. _ 5 <br /> UnH 3 <br /> 5. <br /> 6. <br /> i1nN 4 <br /> 7. <br /> 8. <br /> ❑Unit 6 <br /> 9. <br /> 10. <br /> ❑Unit 6 <br /> Specific Date Range of Information Requested: From 2000 to 2011 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES It1 <br /> ©UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE ` <br /> []:OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL)j)( ❑DOG KENNEL ❑DAIRY <br /> ®_ HAZARDOUS WASTE GENERATOR C1, 0 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPFR TRUCK/YARDICHEncAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOIISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑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 types)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-for additional assistance with file addresses, contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. 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 /> 3. A file that Is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <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$122 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48.06 <br /> 07129/10 <br />