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VP D 56243217' KLEINFELDER PAGE 01/01 <br /> Mo IIATEPfPEM2015 EHD LOG NUMBER <br /> SAN �OAQUIN COUNTY . <br /> ENVIR• NMS ENVIRONMENTAL HEALTH DEPARTMENT <br /> 0 ^;te1TAL !�,�l-I l� .1868 East•Hazelton Avenue Stockton CA 95205-6232 <br /> , <br /> Telephone: (209) 468-3420 Fax, (209) 464-0138 Web: Www.sjgov-orgfehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Margaret Carroll BUSINESS/AGENCY:Kleinfelder <br /> ADDRESS: 620 West 16th Street,#F CITYISTATEIZIP:Long Beach, CA 90813 <br /> PHONE (1): 662-432-1696 PHONE (2): FACSIMILE,.562432-1796 <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-$130 FEE(CASH OR CHECK ON)-Y)-REQUEST PROCESSED IN 3 BUSINESS PAYS <br /> SIGNATURE OF APPLICANT —rnDATE February"13,2015 <br /> Electronic Information: ❑ List❑ Map— escrlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city p Unit 1 <br /> 1, 10849 Trinity Parkway Stockton <br /> r <br /> 2. 10858 Trinity Parkway Stockton vw A•�` .1 unit e <br /> 3. 10940 Trinity Parkway Stockton1 �"" �`t �btit <br /> n <br /> 4. OVA V-M VW011 .El Unit <br /> 5. <br /> 6. El"UnItA <br /> 7. �(�1`1�ea�����►rl �J <br /> 8. ❑units <br /> 171 UrIR6 <br /> Specific Date Range of Information Requesled: From All to <br /> ENVIRONMENTAL HEALTH DEPARTMENT PILES <br /> ©UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> ©OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> ©UNDERGROUND TANK(MONITORING/REMOVAL) ❑Fobu FACILITY [Y]DAIRY <br /> ❑V A80VEGROIJND TANK ❑CHICKEN RANCHI DOG KENNEL Q WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SIT=S <br /> ❑TATTOO/BODY PIERCING ®COMPLAiNTIRESPONS E RECORDS V OTHER(PLEASE SPECIM S•° LIU Q 1 � <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXGi.UDING•HCLIDAYS) <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)464-0130 or mall to the address I dice ed 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 irumber 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 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$130 deposit prior to review. '"BOXED AREA-EHD USE ONLY" <br /> .�i' ,, W`li car c� _�; Y' ;� ,,v� �;« ���. - <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> Received Time Feb, 13. ' 2015 1 ,41P��I No. 8126 08101114 <br />