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• Y r� <br /> DATE RECEIVED ' �•.: \\\/ 1.1 �/ EHDTOGfAIUMBE <br /> �AIV'JOAQUIN COUNTY <br /> RECEIVE® ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> APR 242014 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org Ahd <br /> _ PUBLIC RECORDS RELEASE APPLICATION <br /> ENV/ <br /> PFAWLTr8FFN pmzanneJohnson BUSINESS/AGENCY:Wenck Associates, Inc. <br /> ADDRESS: 1800 Pioneer Creek Center,P.O.Box 249 CITY/STATEIZIP:Maple Plain,MN 55359 <br /> PHONE(1): 612-418-1547- PHONE(2): FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: In town only one day:April 29-Next Tuesday Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> IX CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT_ DATE April 24,2014 <br /> Electronic Information: X1 List x Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> � A El Unit 1 <br /> 1. 1400 Waterloo Rd Stockton 9 14MM p IS p <br /> K2. 4648 Waterloo Rd Stockton ND6 4nr�3 s ElUnit 2 <br /> 3. Please see attached three leaking underground storage tank file sites for <br /> the above addresses.I am requesting to see all of the file information for <br /> 4. these release sites.I am also requesting any other UST/AST/Hazardous n 3 <br /> 5 Waste/Release Cleanup files for these sites.I will only be in town next <br /> Tuesday,April 29.Thank you very much,I appreciate if you could expedite <br /> 8 this in order to have these files available to met-Suzanne 612-418-1547 <br /> /-; ,� ❑ Unit4 <br /> 7. CP�J hOD (4t J,lu✓) b q i4 oieetC l- MA p { P Hof® <br /> I V hbCrC I�ttI O µ% <br /> 8. E_ .: r, r—�17PI-Pr7N ❑Unit 5 <br /> 9. �, <br /> III i� 11 T11ji <br /> 11� <br /> 10. 2c�•l ❑ Unit6 <br /> Specific Date Range of Information Requested: From 1900s _ to present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES F I�S <br /> FX]UNDERGROUND TANK(UST)CLEANUP SITE(LOP) E]MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYIVEHICLE tp n <br /> n OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE I l� <br /> n UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> Rx ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT LA; '' <br /> _[X1 HAZARDOUS WASTE/HAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINT/RESPONSE 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 file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. 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 /> 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 by the same applicant may require a$125 deposit prior to review. ***BOXED AREA-EHD USE ONLY <br /> 0 0 A94CSOt)0G 9 <br /> 4,o 4635� call 106-)o e U T PnW 'A, ,y1. <br /> 5�LIv451 10 I CO0000stl n I (6U JGaerjoo tv-, -Poul <br /> bu51AA.06 IVobwx{ Aw, PrJv r t walla # hSJ-es19J wb <br /> lico.«i}erloo. ?,vv>Et¢r� un4Jizz.�.r7ksr-Qslt� tt�hi.1A (t,;- Llpfc�1 ev tG wr n/cd. <br /> FMI,-SOW C6 oF' TP /4W *;kiG IW, fj;j. toil b w.nooe u nz lop alor iD tCi n n J/e a PcY 1�aS wa4�)cc ii Jlnwri4a <br /> Cid S Alen El ec+ncr UefF soon} cmFII5,'nanv furnii c✓�c rilenic . s4ed <br />