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EHD LOG NUMBER <br /> DATE RECEIVED --77 SAN JOAQUIN COUNTY ...t <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd (Va <br /> 1, <br /> -- PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: David Schlotterbeck BUSINESS/AGENCY: Haley & Aldrich, Inc. <br /> ADDRESS: 3187 Redhill Ave.,#155 CITY/STATE/ZIP:Costa Mesa, CA 92626 <br /> PHONE(1): (714) 371-1812 PHONE (2):(714) 944-4021 FACSIMILE:(714)371-1862 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> F �Ei1 V <br /> SIGNATURE OF APPLICANT DATE 22 August 2012 <br /> Electronic Information: ❑ List❑ Map— Description: Complaint#C00003088 <br /> FILE ADDRESS EHD USE ONLY <br /> street# Street Name City ❑ Unit 1 <br /> 1. 31130 S.Corral Hollow Road Tracy 0 I /-2 <br /> 2. ❑Unit 2 <br /> x: <br /> 3. <br /> 4 [1 11nit 3 <br /> 5. <br /> 6. El Unit 4 <br /> 7. <br /> 8 ❑Unit 5 <br /> 9. <br /> 10. ❑Unit 6 <br /> Specific Date Range of Information Requested: From 1985 to Present Day <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHIt`�1,E r 3- <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE �� n(Gj r/V�I"1 t"/721 <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL� ❑DOG KENNEL ❑DAIRY P?/ C -pC Z'( <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITYJL- ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOL/SPA ❑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-S:OOPM(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(209)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 /> EHD USE ONLY <br /> 4/23112 <br /> EHD 41E06 <br />