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Elk EGA•9 <br /> &,,.r�'V SAN JOAQUIN COUNTY mile" <br /> DAT EHD LOG NUMBER <br /> OCT ,;i, p.� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue,Stockton, CA 95205-6232 <br /> FNVIRC# _WAL Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgi v.org/ehd V <br /> • PER1Ajj6 ratnc>=S I PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: C-'R s)�G+� BUSINESSIAGENCY: QUICK TRUCK REPAIR, INC <br /> ADDRESS: 19 E MINER AVE CITY/STATE/ZIP: STOCKTON, CA 95205 <br /> PHONE(1): 209-547-9210 PHONE(2): 510 SE-?- 698 8 FAX OR E-MAIL: (me c om <br /> Please allow 10 business days from date of application submittal for the records to be aval ablT e. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> CHECK BOX TO EXPEDITE REQUEST-$139 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT , DATE 10/19/16 <br /> 1. List un to ten addresses in the s c e ow. Select the type(s)of files from the list below 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 identifying 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$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> UNDERGROUND TANK(UST) Street a Street Name city <br /> CLEANUP SITE(LOP)• ❑CANsu.Le.�OTHERCL �,(.,,,�EANUPSITE(NON-LOP) ' 1950 EMINERAVE STOCKTON gsJT <br /> iz�ARDOUS WASTE DAIRY <br /> ri TIERED PERMITTED FACILITY 2 <br /> ABOVEGROUND TANK <br /> UST(MONITORING/REMOVAL) <br /> PWS <br /> �.I <br /> HAZARDOUS MATERIALS s <br /> {�]r SPIWRELEASE RESPONSE <br /> -r❑_SOLID WASTE FACIUTY 7 VEHICLE WAIBI+OWLLNV <br /> 4 <br /> FOOD FACIUTY <br /> POOL/SPA SITE MITIGATION <br /> ❑DAIRY 4 <br /> ❑LAND USE APPLICATION SITES 11�i 1 <br /> ❑SEPTIC PUMPER TRUCK/ E]Houswc <br /> 8 <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTEWATER TREATMENT PLANT is/11UPA <br /> ❑HOUSING ABATEMENT T <br /> MOTEUHOTEL <br /> CHICKEN RANCH/DOG KENNEL CUPA-UST <br /> Mmem WrsTE FACILITY B <br /> TATTOO/9ODY PIERCING <br /> SLUG W.TS <br /> WASTE TIRE <br /> f <br /> ' <br /> I rOMPLAINT <br /> ��OTHER(PLEASE SPECIFY): ACCIXIMING <br /> 10 <br /> "'BOXED AREA-EHD USE ONLY"" <br /> • <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD4"6 <br />