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V <br /> EHD LOG NUMBER <br /> DATE RECEIVED SAN ,JOAQUIN COUNTY r <br /> Ip ENVIRONMENTAL HEALTH DEPARTMENT <br /> V j 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> t 7 /Yl Telephone: (209)468-3420 Fax: (209)464-0138 Web:www,sjgov.org/ehd <br /> � N <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> BUSINESS/AGENCY: ERAS Environmental <br /> APPLICANT: Curtis Payton <br /> ADDRESS: 1217 35 Street CITYISTATE/ZIP: Sacramento CA 95816 <br /> PHONE (1): 916-267-1246 PHONE(2): FACSIMILE: <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Please allow W business days from date of application submittal-*Tenrative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUES 125 EE( SHO C E K ONLY -_REQUEST PROCESSED IN 3 BUSINESS rch YS <br /> SIGNATURE OF,APPLICANT DATE <br /> 2013 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city Unit 1 <br /> 1. 446 N.Aurora Street Stockton <br /> 2 422 N.Aurora Street Stockton In ❑unit 2 <br /> 3, . 945 E. Lindsay Street Stockton 4 0 <br /> 4. 700 E. Market Street Stockton M Unit 3 <br /> 5. 308 N. Grant Street Stockton cA I <br /> 6. 647 E. Miner Avenue Stockton tp vita I <br /> 7. 601 E. Main Street Stockton <br /> S. 731 E. Miner Avenue Stockton 0(� UnitS <br /> 345 N. San Joaquin Street Stockton <br /> 10. 730 1 E. Channel Street 'T Stockton tQf ❑Unit6 <br /> Specific Date Range of Information Requested: From 0" J C"- U y�✓'i��- ° <br /> ENVIRONMENTAL HEALTH DEPARTMENT-FILE <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACIrLIrYNEicLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ElHOUSING ABATEMENT [_1 WASTE TIRE ,-_r /IAA <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL)� ❑FOOD FACILITY E]DAIRY at �J VI�-13 <br /> F1 ABOVEGROUND TANK - F]CHICKEN RANCH/Doe KENNEL ❑WASTEWATER TREATMENTPLANT <br /> ®HAZARDOUS WASTEIHAZARDOUSMATERIALW7 - F1 MO,TTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOB.ETS <br /> ❑TIERED PERMITTED FACILITY (A/YI vIQ.(r11 Jr�Sv111s <br /> ❑TATTOO/BODY PIERCING loll MGi n CO 00;xOq$ r�5/�b .`s n *9L- )e�t- <br /> WELL AND SEPTIC PERMIT RECORDS ARE GOOD 3O-72p E t2 rpt 'f 5 j^ `INS <br /> 1. List Do to ten addresses in the space <br /> box(es). At least one file type MUST ro0012-1g45-EQrp+ i5 in *VQ-Nwfl <br /> ranges will not be accepted-for additi <br /> 3:00 pm will be processed the next bu: 4Lj(D /1.. - coppp(6 - _f2�Y.rY0.� <br /> 2. The EHD will notify the applicant if an}— ��-35;2, �U, ,l .t cp�/,r5 oTTru-'r"^ nT <br /> days after receipt of application. The 1 7� l.I�hrttl % 1 41�p u <br /> should be scheduled accordingly. ?OD�a'^e° ��q " rot 51J6 .- Ole- <br /> 3. Afile that is actively being worked on b`I 7M1�Y % tpOD9g366— r SIOb 15 in�hWHie <br /> submitted when the file is available. 'H <br /> 4. Any file not returned in the same coed (000 30 8b9" &4 rpt i5 M"fr. ffw fl le <br /> unHUA?EHDUSEON <br /> Futurefile reviews bythe same applicant mayrequire a$125deposit priorto review. ' LY <br /> 3: rJv; S i✓1. A P <br /> 5 X11 vI a <br /> ffoe 6_ i b (P v'/ "ClY t i I r <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br />