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co!cuiw rJts:[c ll41j3t3�j4t3iS KIMLLY NUNN 1 .r 1 0 BA If-RE - (f I SAN .IOAQUIN COUNTY EHD LOG NU ER ENVIRONMENTAL HEALTH DEPARTMENT AUG 26 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone: (209)468-3420 Fax: (209) 4640138 Web: www.sjgov.org/ehd ENVIRONMENTAL HEALTH PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION APPLICANT: Jennifer Steers BUSINESS/AGENCY: Kimlev-FTorn and Associates,Inc. ADDRESS: 765 The City Dr.lve,Suite 200 CITY/STATE/ZIP: Orange,CA 92868 PHONE(1): 714-705-1340 PHONE(2): FACSIMILE: IUL t- L-E __GPlease allow 10 business days from date of application submittal for the records to be ava(able. v6f%,�so M Staff will contact you to arrange an appointment date and time to review the requested records. ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS -•^`= SIGNATURE OF APPLICANT DATE 8/25/14 Electronic Information: ❑ List❑ Map--Description: FILE ADDRESS EHD USE ONLY Strout# Street Name city O� nit 1 _ (:1) 620 Charter. Way�h3611' ' Stockton. 2. 515 Charter WayStockton `A h,_fw- 11,64 iA CDs it 2 'L (> 508 Charter Way). G I' 9 u� ' Stockton rJ W ►`loco's' "'M YA 4• 440 Charter Way ,U Stockton - 5. 44I Charter Way 1�' Stockton � C�kre s't N�� 641 Charter Way �. 3.'sh a�Stockton - w JQ Unlc 4 7. 701 Charter Wa)' r I p> d 3 ` N•Stocl .on., r� 5 ,Joc��P ?!�__ 8. 74.9 Charter Wa � YJ6 Stockton NbF3 ecp •Q units s 9. _ 18052 CharterWay frF Stockton DQ-7 ;J6co1P9 10, - 1825Charter W �a3y' �,�1�+EC~ Sk °"""� � � a Stockton bcfor-z 1 4fy Co, � unit s 11 t Spaclflc Data Range of Information Requested: From to ENVIRONMENTAL HEALTH DEPARTMENT FILES UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL,WASTE FACILITY SOLID WASTE FACILITYIVEHICLE -4, OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT WASTE TIRE a ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ®DAIRY jam' ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT UVi- Q� ®HAZARDOUS WASTE/HAZARDOUS MATERIALS ❑INOTELIHOTEL ®PUMPER TRUCKNARD/CHEMICAL TOILETS V' TIERED PERMITTED FACILITY ❑POOLISPA LAND USE APPLICATION SITES (1 ❑TATTOO/BODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REvalRl: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) lu 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 nbox(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.Applications received after 3:00 pm will be processed the next business day. tl- 2. For assistance in identifying the nature and content of EHD records,please contact EHD at the number noted above. 3. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) +, $`t days after receipt of application. The files will be held for a maximum of five business days for review. Appointments N should be scheduled accordingly. 4. Any file not returned in the same condition as released will be reorganized by EHD staffat the expense of the applicant. �a Future file reviews by the same applicant may require a$125 deposit prior to review. **'BOXED AREA-EHD USE ONLY*** 93-0 �,r_J 166_0 Cop"G.d . uc) old, o :1cc1c� L�8 V<4,6 Fer 5j15 n r _ C 3� f-r (1 ' 71a l�b�� 1f R �r 7E31t� (e4i G r e�� 3 i�3 J'I c�F 5ie(u,Rt;, le O r ,5� iSDS r*-1 iC'L co, Sf�b� 533 Al A-:L oil Cb__515 C lxrr!>-�1 e P ;fc CP BND bA-06 4/28114 Rece i Yed. Tim Aua. 6. . 014 R: No. 6904 ,50-s 0 '' Cus*), �1C{�cct-EriL C„w'us-j ,��x,�k4( .: �C4i ESOT �• use /�am* -7vl c�►f4� �us-1-1 sfa�}, 1��GtI�+-� Cusr�!y�{6u�,�tC;