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'LO/ LUlY na:LL ,i"00 400 KIIALEY HUNN PAGE 01102 <br /> '� DIVE D SAN JOAQUIN COUNTY �J` NUMB <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> F3 <br /> AUG 2 6 W4 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Steon BUSINESS/AGENCY: K�;jZOrn and Associates Inc. <br /> ADDRESS: 765 The City Drive,Suite 200 CITY/STATE/ZIP: Orange,CA 92868 <br /> PHONE(1): 714-705-1340 PHONE(2): FACSIMILE: D <br /> Please allow 10 business days from date of application submittal for the records to <br /> Staff will contact you to arrange an appointment date and time to reviewthe requeste records. 2Ot� <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS 41 I <br /> SIGNATURE OF APPLICANT DATE 8/25/14 <br /> Electronic Information: ❑ List❑ Map--Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 9 Street Name city 0 t?, Unit 1 <br /> tet= <br /> ° <br /> ` <br /> 620 CharterWa 11' ' � spuncY3 <br /> G e' Stocktoic. <br /> N c� <br /> 2. 515 n Charter Way•SNI, �R52)JV Stockton DY. <br /> �` be � 89 F1t� CAs > 22 <br /> n_t <br /> n C 508 Chartcr Wa '1 1' t19gra) � ) Stockton rzocor-v wd <br /> 4. 440 Charter Way5i 40 <br /> U Stockton ND�u9�)3 It <br /> 5, 441 ChartcrWay iq;tf 1, 95 Stockton tl loekre, s nm�r�P <br /> © 641 Charter Way ? 4) 3.'SIi K ci Stockton c� � <br /> pa' - - ca . 1 unit4 <br /> 7. 701 CharterWayl, ff, .5 v� 3--• 4-Stockton, . [�; <br /> s nxuSP " <br /> 749 Charter Way 35 ,6 _ Stockton c.�� ❑unns <br /> 0 9. 18052 Charter. Way <br /> >� Stockton r 10. 1825 Charter Wa �d4' ' �9f� Stockt .0a^�Cz I `del Cob / Unit 6 <br /> Specific Date Range of Information Requested: From to ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES PIPS, <br /> 1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY SOLID WASTE FACILITYIVEHICLE �. <br /> OTHER CLEANUP SITE(NON-LOP) q HOUSING ABATEMENT ®WASTE TIRE <br /> p ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY DAIRY <br /> Sc ®ABOVEGROUND TANK ❑CHICKEN RANCH]DOG KENNEL EM WASTEWATER TREATMENT PLANT Uq- <br /> Q ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL <br /> ® IV <br /> TIERED PERMITTED FACILITY ®PUMPER TRUCKICATION SITES <br /> MIt:AL TOILETS <br /> 11 0� ❑TA17001BODY PIERCING ❑FOOUSPA OTHER(PLELAND USE ASE SPECIFY) <br /> 11p ®COMPLAINT/RESPONSE RECORDS . <br /> t 4 WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> n 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 /> n o T box(as). At least one file type MUST be selected. Fax to(209)464.0138 or mail to the address indicated above Address <br /> r.7 ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> ` 'A 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 /> gt days after receipt of application. The files will be held fora maximum of five business days for review. Appointments <br /> A;1:-,N should be scheduled accordingly. <br /> �f1 4. Any file not returned in the same condition as released will be reorganized by EHD staff atthe 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 /> O <br /> •I`(gie <br /> b .. �'C7 p 8 ✓icz.J 51J r 0ir- - 'rd/Z YId cD nP 5101 ,2 / zCIO <br /> ic2 Co R1�L tt AJAZ ort C7>_ 515 C°harP4 P oP 0 - 4 1 <br /> ruo 49.06 -- - •: <br /> Received Tim A u Q. 6 014 R: N o. 6 9 0 4 5og C�lct-kl' (List)% �)r� ckvr kl - (1l-,N,LLST) 4129116 <br /> sy ] ��r cn,Urkf(>w <br /> ,urai5f1�1Sib7 /�� ltrs ueiJ . _MA <br />