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06/06/2014 10:38 FAX 4154343947 SMR&H 2002/004 <br /> EHD LOG NUMBER <br /> DATE RECEIVED �+ <br /> S/-IliN JOAQUIN COUNTY <br /> Elva) ENVIRONAft NTAL HEALTH DEPARTMENT � <br /> - 1868 East Halt"lton Avenue, Stockton, CA 95205-6232 <br /> Sud telt0'IOne: (209) 468-34:"!D Fax: (209) 464-0138 Web: www,sjgay.orglehd <br /> LAG RE,G ;ARDS RELEASE_A- PWGAT1_0N <br /> APPLICAN4N i" y ►�1"luTlin; l rht :r & HaHVtUn"OUSINESSIAGENCY'�` <br /> ADDRESS: rO arcadero Centex, 17th Floor_ CITYISTATEIZIP:San Francisco, CA 941.1.1 <br /> PHONE (1): (41.5)434-91.00 _ PHONE(2): (415)774-29:1.5 FACSIMILE:(415) 434--3947 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> _ <br /> Staff_will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQ E'S. �--'-"i FEE(CASH OR CHECK ONLY) REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �' - �' "� DATE <br /> Electronic Information: ❑ List ❑ 141ap-11vr scription: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street NamQ-� tY /'` 1 ❑Unit i <br /> 1 400 D Parkway <br /> Z 9 AY'�Park�r ..._ s/�fu El Unit Z <br /> t�16777 11 fff MOD <br /> 4. � E - r..�.� '� 1� �11� �� ll' V — i�Ui� it3 �!*' <br /> V <br /> _— See attached f1�)r_ adds, as _.S. y{� �. .__—....... <br /> y <br /> n /�/ _0 Unit 4 <br /> !.. <br /> 7. <br /> E]Unit 5 <br /> 10. Ej Unit 6 <br /> Specific Date Range of Information Requested:FromY1/1/98 _ to 12/31498 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES - <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHJCLE -j <br /> OTHER CLEANUP SITE(NON-LOP) F1 HOUSING ABATEMENT ❑WASTE TIRE 0 1 / W I <br /> f UNDERGROUND TANK{MONITORINGIREMOVAL)ai- ❑FOOD FACILITY ❑DAIRY Nug.. 0-I I-I q <br /> 'ABOVEGROUND TANK O. ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALSaL ❑MOTELIHOTEL ❑PumpERTRUCKIYARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 5:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1, List uI2 to ten addresses in the space above. ;:~elect the type(s) of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be select;?d. Fax to 209 464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted.Applications rec0ved after 3:00 pm will he 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 ONL <br /> ) Y <br /> U r <br /> =L p� 4 1221 yetil to- <br /> ❑ Records provided by Staff-PPR Complete. staff Narna: <br /> ,- - 4126114 <br /> FHD 48-D6 <br /> Received Time Jun. 6. 2014 10:44AM No- 6261 <br />