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08/04/2017 5:19 <br /> PM r 14159529421 412094640138 02 <br /> RAS! _ 196 E9 SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> L..V666......�11 Ol LL.... ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG 0] 2017 P1 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> RMIrFs PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Brian Kim BUSINESS/AGENCY: Partner Engineering & Science, Inc. <br /> ADDRESS: 111 Pine Street, Suite 1750 _ CITY/STATE/ZIP: San Francisco,CA 94111 <br /> PHONE(1): (415) 680-8953 PHONE (2): FAX ORE-MAIL: bkim@parmeresi.com <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 /> OffEDICT30XT0EX!'EtlIE(tEIIUEST-FtaOFEE(C9Sf10RCHECK <br /> ONLY.j'>REQt1E5T.(?IYOCESSE!)1tJ36t151[EBsfIAYs. ���� <br /> SIGNATURE OF APPLICANT '•- DATE August 4,2017 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> street III Street Name City <br /> 1 17100 South Harlan Road Lathrop �i1Vt1°T/041' dP/f15, � +� <br /> z. UneVnlla10l1' /C Gn <br /> 3. <br /> 4. <br /> 5 —'�_I L�1�A-Fttghlt <br /> 7. 9 5: 61 i yte <br /> 8. ©SITE MITIGATION <br /> 9. <br /> 10. <br /> Specific Date Range of Information Requested: From All _ to All <br /> ENVIRONMWIA HEAL7f{DEPARTMIENT;FILES <br /> ❑X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑X MOTEL/HOTEL ❑x SOLID WASTE FACILiTYIVEHICLE <br /> ❑x OTHER CLEANUP SITE(NON-LOP) ❑x HOUSING ABATEMENT FOOD FACILITY <br /> ❑X UNDERGROUND TANK(MONITORINGIREMOVAL) (]WASTE TIRE Q DAIRY,POOLISPA <br /> []ABOVEGROUND TANK Q CHICKEN RANCHI DOG KENNEL Q WASTEWATER TREATMENT PLANT <br /> 0 HAZARDOUS WASTE 0 MEDICAL WASTE FACILITYX❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> Q HAZARDOUS MATERIALS Q TATTOO/BODY PIERCING O LAND USE APPLICATION SITES <br /> ❑X TIERED PERMITTED FACILITY 1]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(2091464-0138 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$130 deposit prior to review. <br /> "'BOXED AREA-EHD USE ONLY' <br /> - ,II <br /> 01 <br /> U23 <br /> C oDJ u <br /> Received Time Aug, 4• = # <br /> 201 ?�514PN�°Nd2046staff Name: <br />