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�.. 40� <br /> DATE RECEIVED .� MBER �` <br /> SAN .1QAQUIN COUNTY aa111u--��YYYIII <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 yI <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Frank Goldman BUSINESSIAGENCY: G@oSOIV, LLC <br /> ADDRESS: P.O. BOX 1193 CITYISTATE/ZiP: Meadow Vista, CA 95722 <br /> PHONE(1): 530 906 9048 PHONE(2): EMAIL: ,fraftk.,gQjdman@ymaii.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 /> ❑CHECK BOX TO EXPEDITE RE UEST-$125 FEE(CCASH�ORp CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANTir� Z-rS(�Ltn� DATE 05/22/14 <br /> Electronic Information; ❑ List Map—Description; <br /> _ <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ❑Unit a <br /> 1. 999 Tracy Blvd. Tracy aep? 1O0Co5° .tet 3 <br /> 2- 503 Larch Road KW9 Tracy too 9, Ata Corp ❑Unit e <br /> 3. 16850 Tracy Blvd. Ff- Tracy 0015 a"Lt3 �30"z;P ' <br /> 4. 425 Larch Road Tracy WA J� Unit3 3 <br /> 5- 4131 Industrial Way Tracy "^"' 3 <br /> 6. 3788 Tracy Blvd. N Tracyekre rXcMP el"I.Init.4 <br /> r 3940 Tracy Blvd. N Tr cy s MA MIA <br /> $. 3775 Tracy Blvqap r, crse Units <br /> g• 4110 Industrial <br /> Q _ 10. I ❑Units <br /> �/•C✓�/) Speciflc Date Range of information Requested: From 1983 to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> [�UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOUD WASTE FACILITYIVEHICLE ) <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOuSINO ABATEMENT ❑WASTETIRE <br /> cb <br /> ®UNDERGROUND TANK(MONRORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY /^_�•i� <br /> �S <br /> ❑ABOvEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> 1­1 HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑.MOTEUHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑P60LISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑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 12091464-0138 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 rile 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 /> �-+('I V�GtPLt C� lASI t4)10 <br /> o , X5 -OI'g37 For ae,larCh . Pn, I 37 - 2' \ <br /> r 9 D?Jr <br /> 15 mYT r } Slo le.. 16 5o pjyiiAai c.+�Pl P"C:to . I2060 052-V n OS <br /> hjaUGotc3]73�r_y;' bLWih, ¢1s ��Jirla,G f'rl r 377TTrac�- UST inSla 37F54f I� <br /> Tezk" -uST mt:AcW arewto✓G. - 41)0 InAustrial -I15-�' 4 yl/3% lndusi72/41 NST anetta <br />