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0:06 AM <br /> From:tax Fax:(209)740.4505 . To: Fax: +1 (209)4640138 Page 2 of 2 08129/20161EHD LOG NUMBER <br /> DATE RECEIVED (� SAN JOAQUIN COUNTY <br /> OVED ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> AUG L-1 201telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> tERONF EVIALHF_ALTH <br /> (�RONk1i/NlTALHF PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Heather Gemmrig BUSINESS/AGENCY: enviro Assessment PC <br /> ADDRESS: Po Box 1154 CITY/STATE2IP: Bonnets Ferry,ID 63806 <br /> PHONE(1): 644-742-7311 PHONE(2): FACSIMILE:877-623-5493 <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal -`Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Heather Gemmng DATE Auyust29,2016 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City El Unit 1 <br /> 1212 Performance Drive Stockton NAKItloI4'�j /aft/Cj9 / � r <br /> 2. Q Unit 2 <br /> 3. � <br /> 4. L5-Unit 3 <br /> 6. <br /> . m Unit 5 <br /> 9. <br /> 10. SU�N if14 }lan <br /> Specific Date Range of Information Requested: From to Lam' <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ©MEDICAL WASTE FACILITY Q SOLID WASTE FACILITYIVEHICLE <br /> Q OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ©ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> X HAZARDOUS WASTE/HAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑0 TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ©COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE 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 selected. Fax to(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted -for additional assistance with flle addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notlfythe 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 /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file Is available. <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 bythe same applicant may require a $125 deposit prior to review. —BOXED AREA-EHD USE ONLY - <br /> ❑ Records provided by Staff-FPR Complete, start Name ✓ L =>' )- , <br /> 9,4/12eeelved Tirne Auo. 29, 2016 10: 060 No. 1149 �` <br />