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' GO( Grll4 r.JO: KiMLLY HUKN �•�r-� P ,A1 CD2 <br />a � 1 f � C" <br />4 i +v' <br />A RECEI EDF "; zl r cam\ <br />t _ SAN JOAQUIN COUNTY L NUMBER <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />AUG 26 M4 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 4640138 Web: www.sjgov_org/ehd <br />ENARONMENTAL HEALTH <br />PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Jennifer Stccn BUSINESS/AGENCY: Kimley--Torn an.d Associates, Inc. <br />ADDRESS: 765 The Cit Drive, Su.ile 200 CITY/STATE/ZIP: Orange, CA 92868 <br />PHONE (1): 714-705-1340 PHONE (2): FACSIMILE: E D <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 REQUEST - $125 FF_E (CASH OR CHECK ONLY) - REQUEST PROCE-SSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE 8/25/14 <br />,4�-'� <br />-ter`? ' <br />Electronic Information: ❑ List ❑ Map --Description: <br />FILE ACDRESS <br />EHD USE ONLY <br />51 nit 1 <br />� S war 3 '-•- <br />CP <br />`� { �,-- + '6 1 �,� nit 2 <br />Street # <br />_ <br />Street Namo City <br />^ Charter. Way 7�a;II' ` Stocktoin. <br />' <br />G20 <br />2 <br />515 <br />Ch.arter Way t, 5 j; `1 Stockton <br />508 <br />Charter Way`I ' +' O� <br />Stockton <br />Nom°' `"`�13 <br />Nb�ia+ci3 � Wit <br />- unres <br />4. <br />440 <br />ChartcrWay � p Stockton <br />5. <br />441 <br />Charter Way ixAl> 't3 /� �' <br />Stockton <br />i (Wz Cre tl t.xcl:'Jp <br />c9 � <br />. r C: -C, . <br />Zf Unit 4 <br />T, <br />641 <br />Charter. Way-., , � y ),J 3.`Sh `1 ci Stockton <br />H 17 <br />%- <br />f <br />701 <br />74.9 <br />Charter Way1- ' �1 c <br />Charter Way 3) 2 <br />Stockton. <br />Stockton <br />►�b��ocn� <br />❑ units <br />9. _ <br />18052 <br />Charter WayT�Stockton <br />N1bP2 r, co <br />/ UnPt 6 <br />10, <br />IS25 <br />Ch.arte.r. VV -233cl Stocictoll <br />1'­;­PL"CIfIcDatLN <br />Rangeof Information Requested: From to ' <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) M MEDICAL WASTE FACILITY SOLID WASTE FACILITYIVEHICLE i,li� <br />41 OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT WASTE TIRE <br />® UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ FOOD FACILITY ® DAIRY ✓. <br />ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL ® WASTEWATER TREATMENT PLANT u� ►� <br />® HAZARDOUS WASTEIHA7ARDOUS MATERIALS ❑ MOTELIHOTEL ® PUMPER TRUCKIYARDICHEMICAL TOILETS <br />TIERED PERMITTED FACILITY ❑ POOLISPA 0 LAND USE APPLICATION SITES <br />f(i ❑ TATTOOIBODY PIERCING ® COMPLAINTIRESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) <br />2. <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REviFw: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br />�� 1. L.ist_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. 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 />�T N should be scheduled accordingly. <br />�f1 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br />j so Future file reviews by the same applicant may require a $125 deposit prior to review. '**BOXED AREA -EHD USE ONLY*** <br />vtL J lC-- c, i8 r) t� 36 ,ctc� JJ ft ✓ iCt.J �1 J <br />4(�1i r �vA r� 3 i�3 JI I w ojw, >ZW l <br />4 �� ' i8_D.S_ -ar'l✓1. b"L CQ 5i�b� <br />J 4 ier- rn rc A AJ AZ o✓1 Cjj_ 5)t t ►��}p'i f��t` File P.,;w1,af C/� v F 441 Citi k"A <br />EHD 48-86 <br />A. R e c e i v e d Tim A u a. 6, . 014 R: N o. 6 9 0 4 50-6 Cl uu--� CLA % ol� ckxlr -IL bfw, LL5T <br />CusT I sem), '16-W Ct'�.e!• (usr)d <br />jr 533 <br />w; <br />4(28/14 / <br />Z,z CG2(ejk4 f C, <br />ib CW44 c <br />