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i <br /> } 1:/02/2014 14:52 5624321 o KLEINPELDE2 <br /> DA -t-WEf "' PAGE 01/01 <br /> �`"� SAN JOAQUIN COUNTY PHI)LOO NUMBER <br /> i <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> DEC 6 2 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgpv.org/ehd <br /> ENVIF.Z" ENif.J HEAILTH' <br /> aare9 <br /> ricratnr�z PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Me ga etCarroli BUSINESS/AGENCY: Kleinfeider <br /> ADDRESS: 620 West 16th Street,#F CITYISTATEOP: Long Beach, CA 90815 <br /> PHONE(1): 562.4324896 PHONE(2): FACSIMILE:562-432-1796 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records, <br /> ! ❑CHECK BOX TO EXPEDITE RECUEST-$130 FEE(CASHOR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS, <br /> SIGNATURE OF APPLICANT '-jYl/DA��j�•4' Qt DATE December 2, 2014 <br /> Electronic Information: 0 List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> StreelA Street Name City Q Unit 1 <br /> 1. 7544 W. Eight Mile Road . Stockton pl)P.� <br /> 2. 6210 Westlake Drive Stockton p rJP Unit 2 � - <br /> 3. 8712 Cherry Port Drive Stockton NDPJ, No cOit9 <br /> 4. 10599 Regatta Lane Stockton m a Hila <br /> i+2" 8090 Ric Blanco Road Stockton <br /> 6. 8095 Rio Blanco Road Stockton `L'n4� u,;R4 � <br /> 7. t 7 <br /> 8. <br /> ❑Unit S <br /> 9. <br /> 10. <br /> ❑Units <br /> Specific Data Range of Information Requastad: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FI ES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILRYNalICLE ( <br /> OTHER CLEANUP STr E(NON-LOP) ❑HouSING ABATEMENT ❑WASTE TIRE It V 1 C_,O <br /> UNDERGROUND TANK(MONITOKINGIREMOVALjX ❑FOOD FACILITY ❑DAIRY r+ 'i <br /> ABOVEOROuND TANK - ❑CHICKEN RANCH(DOG KENNEL WASTEWATER TREATMEfir PLANT <br /> HAZARDOUS WAaTEMAZARDOUS MATERIALS.t• ❑MOTELIHOTEL FPUMPER TK.UCK/YARDICFEMICAL TOILETS <br /> TIERED PERMrrTED FAC,ILrTY o— ❑POOLISRA ❑)ANO USE APPLICATION Sms <br /> ❑TATToolBODY PIERCING WCoNPLAiuTIREsPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:O0PM(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(2D9)464-0138 or mall 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 confimad,approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five bLlslness 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$130 deposit prior to review. —BOXED AREA.EHD USE ONLY`""' <br /> ia.-2sT•1 Pr Di{ tt7 <br /> toe tiff r 1&n <br /> N r zT * -11-401 v tan U44 14 r <br /> tt s ' ✓� Ioru z 6 t��:Zio t <br /> ,a T n � 9 X0147642A', <br /> Rtcev iJ47rliLe 'o-0t�'GS ° .N76i4i s. wcorco , tt ( r rIe r� 5ao weiPPg'l�itwh <br /> f�5rtra) I thy( '! Naz) BJP- e-0 <br />