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1 (18/27/2013 TUE 9: 46 FAX 20946P999 SJC Public Works _ 0001/001 _ <br /> rpm <br /> AEMNED EHD LOG NUMBER <br /> f E SAN TAL HEN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG Z Z `f`T - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> eTephone: (209)468-3420 Fax: (209) 464.0138 Web: www.sjgov.org/ehd <br /> 14 <br /> EN F ES PERMRISFFMC <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Mark Hopkins. BUSINESS/AGENCY:San Joaquin County Public Works <br /> ADDRESS.• 1810 East Hazelton Avenue CITY/STATE/ZIP:Stockton,CA 95205 <br /> PHONE (1): (209)468-3085 PHONE(2): FACSIMILE:(209)468-2999 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from data of application submittal-`Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUES $125 FEE(GASH O CHECK ONLY)-REQUEST PROCESSED IN 3 BU !NESS DAYS <br /> SIGNATURE OFAPPLICANT /rDATE <br /> Electronic information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streattl Street Name city Unit! <br /> 1. 251 Waterloo Rd. Stockton M I <br /> 2. 2484 Waterloo Rd. IQ FT= Stockton �jllv�Wlv <br /> UnH2 /5 <br /> (tA� 3. 2489✓ Waterloo Rd. Stockton f \ <br /> // 4. 250 Waterloo Rd. Stockton 0 Jnit3 l <br /> 5. 2701 Wilson Wy. Stockton <br /> 6. 2901 ✓ Wilson Wy. $r Stockton Alo Unit4 <br /> 7. 2802 Wilson Wy. tjc-r Stockton J. <br /> 8. 2662X Wilson Wy. Stockton Unit <br /> 9. 3305. Wilson Wy. Stockton qp t(/li YZj N,) UA i f AI <br /> 10. 3250- Wilson Wy. Stockton �X <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q HOUSING ABATEMENT *SOLID WASTE FACILITYNEHICLE j� PIMA <br /> X OTHER CLEANUP SITE(NON-LOP) El FOOD FACILITY El WASTE TIRE to <br /> ❑E UNDERGROUND TANK(MONITORINGIREMOVAL),( ❑DOG KENNEL 0 DAIRY Ol ,/p ) <br /> ©HAZARDOUS WASTE GENERATOR(' ❑CHICKEN RANCH 1101 WASTEWATER TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL X PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA N LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY COMPLAINT 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 1209)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. <br /> 41 .13 _ I115p <br /> Ti= tAm 0 Q .I <br /> EHD Ae-06�'_/Z'I?S LvDvic C. / wJ ,ys/ /aa LIST wolf <br /> Received Time Aug, 27, 2013 9:37AM ND. 3929 �d �7°� "� /�'� f <br />