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° EHD LOG NUMBE DATE RECEIVEDj0, t` .1OAQUIN COUNTY h RECEIVED ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org hd APR 2 42014 ENVI - PUBLIC RECORDS RELEASE APPLICATION P��LAAM;Eejzanne Johnson BUSINESS/AGENCY:Wenck Associates,Inc. ADDRESS: 1800 Pioneer Creek Center,P.O.Box 249 CITY/STATE/ZIP:Maple Plain,MN 55359 PHONE(1): 612-418-1547, PHONE(2): FACSIMILE: TENTATIVE*APPOINTMENT DATE: In town only one day:April 29-Next Tuesday Time: (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS SIGNATURE OF APPLICANT_ DATEApril24,2014 Electronic Information: X] List x Map—Description: FILE ADDRESS EHD USE ONLY Street# Street Name City tiLv�l El Unit 1 R 1 1400 Waterloo Rd Stockton f}S f4Mw1 rp h lS fQ 1--5p )ppppepppp� 2• 4648 Waterloo Rd Stockton f4D&tAn, (250> cs ❑ Unit 2 3. Please see attached three leaking underground storage tank file sites for the above addresses.I am requesting to see all of the file information for 4• these release sites.I am also requesting any other UST/AST/Hazardous it POP Waste/Release Cleanup files for these sites.I will only be in town next 5• Tuesday,April 29.Thank you very much,I appreciate if you could expedite 6 this in order to have these files available to me!-Suzanne 612-418-1547 000 ❑ Unit 4 Gl Ipc4�rL I�� mgptNMp F!g7. PaJ LJ ( < q� 8. ' Uniaa t 5 9. L. 10. ❑ Unit 6 Specific Date Range of Information Requested: From 1900s _ to present ENVIRONMENTAL HEALTH DEPARTMENT FILES n UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY [:]SOLID WASTE FACILITYIVEHICLE n OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE FX UNDERGROUND TANK(MONITORINGIREMOVAL) F-1FOOD FACILITY ❑DAIRY i.l-2; � n ABOVEGROUND TANK F-1CHICKENRANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT 41r�� [Xj HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEL/HOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS ❑TIERED PERMITTED FACILITY ❑POOUSPA ❑LAND USE APPLICATION SITES ❑TATTOO/BODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after 3:00 pm will be processed the next business day. 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) days after receipt of application. The files will be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be submitted when the file is available. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future file reviews by the same applicant may require a$125 deposit prior to review. ***BOXED AREA-EHD USE ONLY C> b�'�� )UIv ro�fL i c &Cab 9 , L: ,'I \ 1.' *M&II1 I,� rIOL � ..'I _cam E_ !:el--1Iyi_ts rl�7LY ti,Q., rlx1• /� cbJZ `I' ✓IUIL` �t L l� ; -I�..f�� l� U(:(_`CJ�/0 741 /�(�: t..Ja46-jo0 1 J'N P/ke_ �uSi� neo ��ctic (-CrV,E�T,jcbrlih )qoo'Xief-�W. Pa".WL! f -- of 1-0- 1R-001`I3 hSJ-C31C,q Fc 0 JIM 4r 100: v>< amu':I d i2r.�2f� h� t.z,,�s.� (� �;a:►t* tt l;V e. &hwi•csL �j C-00of -rP Iryco A)a-*A �0. TI K { I,uaWlaAdOUJluzi/D tt�lti �DfC rust Jie.a �/�35 i%nlcrlc: its iinuu✓c�� C-,A� Aben Elzcfy-re,, Jzi�(= saoyf' em,FFs.�ian, Fur��itetsft t�ten;'c sStyj