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Uo/Up')/LU14 lu;ao rHA 41aioIaU%! 5ALK&11 1! UUZ/UU4 C (D LOG4XI DATE RECEIVED YNIBI!ER F SAN J�OAQUIN COUNTY ��' FtE�� ENVIRONMENTAL HEALTH DEPARTMENT � ,� . 1868 East Hazelton Avenue, Stockton, CA 95205-6232 jejgRione: (209) 468-34;:0 Fax: (209) 464-17138 Web: www.sjgay.orglehd LIG RECORDS RELEA EAP WGATJQN ``��; '1 APPLICAVWP04 �E Ilin, Ra"chter & Hazl�at n USINESSIA,GFhIGY '� "� -_ ADDRESS: Four arcadero Center,. 17th Floor CITYISTATEIZIP:San. Francisco CA 94121 PHONE(1): (415)434--9100 _ PHONE(2): (415)774-291.5 FACSIMILE:(415)434--3947 -. Please allow 10 business days from date of application submittal for the records to be available. Staff will contact you to arrange an appointment date and time to review the requested records. ❑CHECK BOX TO EXPEDITE REQ i'S R2 iFEE(CASH OR CHI=CK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS SIGNATURE OF APPLICANT y a? •-✓` DATE 0//- Electronic Information: ❑ List❑ loa�Ytscription: . �""'• EHD USE:ONLY FILE ADDRESS Street# Street Marne cityY- 0 ❑ Unit 1 400 D'Arcy Parkway _Lathro 2. gArLnz tiD� ❑Unit 2 � 3. 16777 >:Iowland Road La•l=hropCap ^ '1 .P Unit 3 �!%r 6. See attached fc r addl;ees a V c,tir-s for� 6- Unit 4 7. _ -_...__.._ j V ❑ Units 10. — _ ElUnit6 a......,.,. �l/1/98 to 1.2/31/98 Specific Date Range of Information Requested: From ENVIRONMENTAL HEALTH DEPARTMENT FILES ❑LINDERGRoUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY SOLID WASTE FACILITYNEHICLE [.D OTHER CLEANUP SITE(NDN-LOP) /ARE ❑HOUSING ABATEMENT ❑WASTE TIRE ❑UNDERGROUND TANK(MoNiTORINGI ❑Fool)FACILITY DAIRY ❑ABOVEGROUND TANK ❑CHICKEN RANCH[DOG KENNEL ❑WASTEWATER TREATMENT PLANT ®HAZARDOUS WASTEIHAZARi7OU5 IVIA ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS ❑TIERED PERMITTED FACILITY ❑PDOUSPA ❑LAND USE APPLICATION SITES ❑TATTOOMODY PIERCING ❑COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECBLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:0011PM (EXCLUDING HOLIDAYS) 1. List up to ten addresses}. the space above. Select the type(s)of files from the list above by checking the appropriate box(es). At least one fq&type MUST be selected. Fax to 209 464-0138 or mail to the address indicated above. Address ranges will not be ac;, pted.Applications recta ived after 3:00 pm wiii be processed the next business day. 2. For assistance in 1, the nature and content of EHD records,please contact EHD at the number noted above. 3. The EHD will notify the applicant if any END tiles exist. An appointment for review will be confirmed approximately ten (10) days after recei�t of application. The flies will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 4. Any file'n returned in the same condition a€,released will be reorganized by EHD staff at the expense of the applicant Future fi reviews by the same applicant may require a$125 deposit prior to review. """BOXED AREA-EHD USE ONLY` - -I _a r �, zea d' T~. sem i33 Z`3�3 xS9 C cllsr-!XSJG33�``'-�'. X5,3 v33L^,5. X--?j f��3�_.:�5�6 XS�d3�! - c`3W0$ XS.ic3tplt3 �s�c3$53 if5jL` Q:3>r. �t5.i v401i7 ids.. V44'- L) ' 1Gr3im>{ X 5.+u35' 1. aG3S a2. XSi1 tj35 x`-iJ. t}4+iM� (rile 'hCS �nulA►r:.Li- 1*;5 x(6j 61 F-A7, 'xs-)CIaq 7,ASO 013%XW c4I2-z./j47 A -k..,"44,777)iu31CA r1EEo[: iPh �, a! ,; �3F� t51t�3L3 t :,z3lIC �Ditd13-9d_ wn#?�`,A�'lL:1t0 V2104 t�71} J tiJI+/J (�rJe f hRoCCCn2�ajC7.C+✓�IY�Zb3 �rCL�C`GL�3 +�, GC'L�Z(cr GrCOL�2iuS11r.Co`GrJlrjLv 7` ! r1t3 �IC q Z. �1W3 Received Time Jun. 6, 2014 1MOM No. 6Z61 ['r��JZ1btLGlr��O'�i�$tiS^]C �P")y C'�Q�yGi4*"7'yLrl,tSicdn),CLccC2cici�J(rpr57�ua�i�cCz$7�i`if�r,Q�7i�x.j, C.t�o2`3�Iv5 rc'.t�CfcSi`3LSL�f'ESrCi.:),C1'C'c�Z�$D�Cf"p>i-�IOlcr�. .,.. .�€.�. �..,. rH-.��ftn >t fnm.aaLiGi l.=.Q =ni•�., �l