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U0/V7/ZU14 LU:oo rrsA 4Sa4J4JJ ! 5mlcrscn L/UV4 P\TIDLOGUiMBER-DATE RECEIVEDOC (D k SAN JOAQUIN COUNTY ENVIRONNII ENTAL HEALTH DEPARTMENT 1868 Fast Hazo',Iton Avenue, Stockton, CA 95205-6232 telt 0ione: (209) 468-34''20 Fax: (209) 464-0138 Web: www.sjgov.org/ehd LIC RECORDS RELEA AP-PLiGATI®N APPLICAvf ��►Eurlin, Richter & Hampt:.on-��SINE�SS/AG�El GYM ` �` �✓:; " ADDRESS: FQu' arcadero Center, 17th Floor CITYISTATEIZIP:San Fr Isco CA 94111 PHONE (1): (415)434-9100 PHONE (2): (415)774-2915 FACSIMI :5415)434-3947 - Please allow 10 business days from date of application submittal for there rds to be available. Staff Will contact you to arrange ars appointment date and time to revie,wffft a requested records. ❑ CHECK BOX TO EXPEDITE REQI S�� )FEE(CASH OR CHECK ONLY)-RE QUEST/PROCESSED IN 313US1NE55 DAYS SIGNATURE OF APPLICANT "`l/ DA7E Electronic Information: ❑ List❑lftpp--D�ascription: 711 P. �nG FILE ADDRESS EHD USE ONLY Street# Street Name Cite El Unit 1 1 400 D' rcy Parkway ., Lathx a o 2. \ {i' I�'+�� ❑unit 2 c-� far �� N - 3. 16777 Howland Road I atlaropp - N►to 4' Ft-re i 4c�' . . Unit 3 5. T See attached +�r adc3l_ess iia cs_ 6. -EUnit 4 ti 8. _r ❑ Unit 10. ❑ Unit 6 Specific Date Range of Information RequestA': From} 1/1/98 to 12/31498 dErWIRONMENTAL HEALTH DEPARTMENT FILES (iiel�7 ❑UNDERGROUND TANK(LIST)CLEANUP SITE'(L()P) r]MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEH]CLE OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE;TIRE ri 4 r]UNDERGROUND TANK(MONITORINGIREN+OVAL) ❑FOOD FACILITY ❑DAIRY `j ❑A13OVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT tAO' V ©HAZARDOUS WASTEIHAZARDOU9 MATERIALS ❑MOTELIHOTEL ❑PUMPERTRUCKIYARDICHEMICAL TOILETS ❑TIERED PERMITTED FACIL/iT F1POOI.ISPA ❑LANA WE APPLICATION SITES ❑TATTOOISODY PIERCING F-1COMPLAINT/RESPONSERECORDS E]OTHER(PLEASE SPECIFY) WELL AND SEPTIC PEECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Alyn-5:00' pm(EXCLUDING HOLIDAYS) 1. List up to ten add.sses in the space above. Select the type(s)of files from the list above by checking the appropriate box(es). At lea one file type MUST' be select+:gid. Fax to 209 464-0138 or mail to the address indicated above. Address ranges will no a accepted.Applications recd-ived after 3:00 pm will be processed the next business day. 2. For assists in identifying the nature and content of EHD records, please contact EHD at the number noted above. 3. The EHD i I notify the applicant if any EHD floes exist. An appointment for review will be confirmed approximately ten(10) days aft receipt of application. The files wilt be held for a maximum of five business days for review. Appointments Should/6 scheduled accordingly. 4. Any rIe not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Fu re file reviews by the same applicant may require a$125 deposit prior to review. *'BOXED AREA-EHD USE ONLY` 77 t -* 5 - �C �7Z x5.»02.75 jf`�.1 C--4L7-i Xt�[V3 2.1 3 x!5iJ C x119. xSJ ra331?3, XSj t'—3e'b X5V sn3�'�`I KS r_v35'�i ; a�r3S`s2 )(W. b3i-a X3.lc13k-Cf Jts.,03tplO XSJe3S53 kajV00-2411 1X5j 040,67 a 411 CVLi X7.7 ykl�'aiGu1C1 WJMAP File i+M1u� .1 t' ='s )�5-1 01V47, 7,ASJ 611.'3 ,XSJ CZ.izz,,Xs�, xS pj"Zs:i►Sf' �: ."S+Lnn:;r� . rCi > {SI .to iiCYIRrn4/l�777�ywsia.Icl•I� A4ixRncct;R1cka , `} �� xr►3tss ji5i©31. 3 rr�ru �aw�zau4en �i' 'tfiu. (�'Ocii GL�Cx1Z(�S1L ,cvGt�i1+K'o7 r a,zs,ta 77 tkn� ale#i r caoozs�go�Cc�z�,33��c�ocZEC?IZ4 u-OCzj,5�r i-It:3 lr_ W - Received Time Jun. 6. 2014 10:44AM No. 6261 ��3L��°��s��rn�)yc�:t``3Z'77,ccc�'�12_93 �.c�3izlii ' �Z�7.-7Crptsrct�),LccCzriolyLrpisl��,�ccz$��1�lLr s-rte[.), G�"�C:CZ$7(aj� r5..e�Cf.+d.1'3�'Z-S(Y'QfylCi:J} ,C1�C�LSfSSG�3(r��y10b��