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DATE RECEIVEE� . SAN JOAQUIN COUNTY • EHD LOG NUMBER <br /> >v Q" ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> I <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:JOANNA TIPPETT BUSINESS/AGENCY:URS CORPORATION <br /> ADDRESS: 12420 MILESTONE CENTER DRIVE, SUITE 150 CITY/STATE/ZIP:GERMANTOWN, MD 20876 <br /> PHONE (1): 301-820-3000 PHONE(2): FACSIMILE:301-820-3009 <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 REQUEST-$125 FEE(CASH OR HECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT(A,44 DATE 6123114 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City Unit 1 <br /> 2222/S SINCLAIR STOCKTON A 5— 1+w o ujl <br /> 2. M vl <br /> ❑ Unit2 <br /> 3. <br /> 4. <br /> ® Unit 3 <br /> 5. <br /> 6. <br /> ® Unit 4 <br /> 7. <br /> 8. <br /> ❑ Unit <br /> 9. <br /> 10. <br /> ❑ Unit <br /> Specific Date Range of Information Requested: From to C) q &2, <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FA IUT1(IVEHIGLE 11 2 <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE e—S It,4nl lJ <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL)V ❑FOOD FACILITY ❑DAIRY V2, '-1 <br /> ®ABOVEGROUND TANK C7 ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS c2— ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑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:OOPM(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.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$125 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 <br /> 4128114 <br />