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?916 09:11 a Nelson Environmental 775-254.3748 p.1 <br />`` A DATE RECEIVED EHD LOG NUMBER <br />■ OUNTY <br />RECEIVED ENVIRONMENTAL HEASAN JOAQUINLTHMEPARTMEN <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />JAN 2 9 20RIeplione: (209) 468-3420 Fax: (209) 454-0138 Alreb: www.sigov.org/ehd <br />€ RONMP4TALH PUBLIC RECORDS RELEASE APPLICATION <br />oevmAorncF-r7tllr*�IC <br />APPLICANT: Mike Nelson BUSINESSIAGENCY: Nelson Enviro LLC <br />ADDRESS- 103 Laurel Ave. CITYISTATEtZIP-Atwater, CA 95301 <br />PHONE(i): 209-769-7460 PHONE(2): FAX ORE -MAIL: mike@nelsonenviro. <br />Please allow 10 business days from date of application submittal for the records to be available. com <br />Staff will contact you to arrange an a pointm t date and time to review the requested records. <br />❑ CHECK BOX TO EXPEDITE REQUE D E H R CHE - -- REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE 1/29/2016 <br />Electronic Information: ❑ List ❑ Map - Description: <br />FILE ADDRESS <br />Steaet is Street Name Oily EHD USE ONLY <br />t• <br />729 <br />E. Market St. <br />Stockton <br />poUIQ . <br />❑ unit l <br />2• <br />700 <br />1 E. Market ST. <br />Stockton <br />3. <br />742 <br />E. Main St. <br />Stockton <br />(]Units <br />4. <br />2021( <br />E. Miner Ave. <br />Stockton <br />No ❑ Unit 2H <br />5 <br />LIS •l;(nit 3 <br />6.7. <br />� <br />L9VOnit 3HM <br />nit 4 <br />8. <br />ITE MITIGATION <br />9 <br />❑ Unit S <br />10. <br />Specific <br />Data Range of tnfomiafm <br />R ueste l F <br />eq rom to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />® ��LLCCEHI <br />��� <br />UNDERGROUND TANK(UST) CLEANUP SI'TE(LOP) El ❑SOLID WASTE FACNTYlV <br />Q CTHER CLEANUP SITE (NON -LOP) ❑HOUSING ABATEMENT <br />Ell UNDERGROUND TANK(MONITORINGIREMOVAL)&S ❑WASTE TIRE El FACILITY a- r,, <br />Q ABOVEGROUND TANK DAIRY, POOLISPq <br />® HAZARDOUS WASTES ❑ CHICKEN RANCHI DOG KENNEL ❑ WASTEWATER TREATMENT PLANT <br />❑ MEDICAL WASTE FACILITY ❑ PUMPER TRUCK/YARD/CHEMICAL TOILETS <br />® HAZARDOUS MATERIALS ❑ TATTOOIBODY PIERCING ❑ LAND USE APPLICATION SITES <br />❑ TIERED PERMITTED FACILITY ❑ COMPLAINURESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY8:00AM.5:00PM EXCLUDING HOLIDAYS <br />1. List up to ten addresses in the space above. Select thetype(s) 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. Applications received after 3.00 pm will be processed the next business day. <br />2. For assistance in identifyina 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 5130 deposit prior to review- <br />-BOXED AREA - EHD USE ONLY" <br />b SOPIf p Ln HW 71 le <br />❑ Records provided by Staff -PPR Complete, <br />aft Name; <br />?eceived Time'Jan, 29.'201 — 8:56AItfiNo.0417 <br />