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06/06/2014 10:38 FAX 4154343947 Shift&H 121002/004 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONINIII.NTAL HEALTH DEPARTMENT <br /> 1868 East Haze.lton Avenue, Stockton, CA 95205-6232 <\ <br /> 3U� Q 4elt0tone: (209) 468-34:.`.0 f=ax: (209) 464-0138 Web: vww.sjgov.org/ehd <br /> g LIC RECf.)RDS RELEQe�F.APPLEGATtON <br /> Qr <br /> APPLICANT �� ,E ullln, Ri_+chtc:r & Harnpto BUSINESS1AGENCY:' <br /> ADDRESS: Fkf arcaderoCe texts 17th F1oar CITY1 ATE/ZIP:San Francisco CA 94111 <br /> PHONE ('I): (415)434--9100 _ PHC; NE (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 /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQ E S. Cll FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT l` ��' ` ""� � DATE <br /> Electronic Information: ❑ List❑[Map—Ds;.scrlption: <br /> FILE ADDRESS r¢ EHD USE ONLY <br /> Street# Street Namely- ElUnit 1 <br /> •. <br /> 1. 400 -D_ AS= ParkwaZ <br /> 2. — o ' � Fv0. <br /> � F ' ❑Unit <br /> WE-im OP <br /> ►�*' ` ` Vuit 714 <br /> 5: '!J _Y _ -'4 See�attgched f(�)r adc��s 5 icam._ <br /> 6. — r[j Unit 4 <br /> 7. <br /> -A Cin C1 <br /> g ❑Unit 5 <br /> 9. <br /> 10. — pUnit S <br /> Specific Date Range of Information Requested: From to 12/3V98 <br /> 98 <br /> F14VIRONNIENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILrrY ❑SOLID WASTE FACILITYNEHJCLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT El WASTE TIRE ,Ft �fIPS r � <br /> UNDERGROUND TANK(MONITORINGIREMOVAL)d� ❑FOOD FACILITY ❑DAIRY H <br /> 'ABOVEGROUND TANK 0 .1 ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALSaL ❑MOTELMOTEL ❑PUMPERTRUCK/YARD/CHEMICAL TOILETS <br /> ❑T€ERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ❑COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILA.8LE 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 selecb'd. Fax to 209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted.Applications recolved after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and r;ontent of EHD records, please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD fflos exist. An appointment for review will be confirmed approximately ten(I <br /> days after receipt of application. The files w>'Il 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 reoi•gantzed by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$925 deposit prior to review. BOXED AREA-EHD USE ONL <br /> f� <br /> rU -)— r j U C <br /> OO 0 <br /> ❑ Records provided by Staff-PPR Com peete. Staff Name: <br /> - -- •-• 4126194 <br /> EHD 48-06 <br /> Received Time Jin. 6. 2014 10:44AM No. 6261 <br />