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,l FHn I n ,mi ihmi:62 <br /> DAT`',lEL1=i�ED,_ 7 >. SANJOAQUINCOISSLFON NVS6 :U SAO 6l '��A alllil paniaaad <br /> 1\11 AY 9 ?_0115 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1858 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> EN IHONNIENTA Telephone: (209) 468-3420 Fax: (209)464-0108 Web: www.5jgov,orglehd <br /> 1 <br /> PERM,IT(-SERViCES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Sarah Sweeney BUSINESS/AGENCY: EMG <br /> ADDRESS: 222 Schilling Circle,suite 275 CITY/STATE/ZIP:Hunt valley,MD 21031 <br /> PHONE (1): 410-785-6200 PHONE (2): FACSIMILE:410-785-6220 <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 EOXTO EXPEDITE REQUEST.S13n KGF if-ACW OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE May 19,2015 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> _ <br /> FILE ADDRESS EHD USE ONLY <br /> - ^ Street# Street Name -� City r-� ❑ Unit 1 <br /> 1. 10858 Trinity Parkway Stockton <br /> 2, - wa ❑ Unit 2 <br /> 3. - <br /> Q., Unit 3 <br /> 5. .M wq^ SITE=MITIGATION <br /> s, ❑ Unit 4 <br /> 7. ��d e� 1(7 p(q,kaI tv)• <br /> Unit S <br /> ❑ Unit 6 <br /> Specific Date Range of Information Requested: From 2004 to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYIVEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> q UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ■❑HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ©TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOISODY PIERCING FO-1 COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5: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.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 file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file review <br /> sby the same applicant may mquEire ya$125 deposit prior to review. *'*BOXED AREA-EMD USE ONLY""' <br /> r�9�ZXGg ,. ��� i'S5� /a dA To erh r (E�d h E3 yl, 'Vti6& Yla�y V, Lrzi <br /> ■ <br /> ■ <br /> ■■ <br /> 0 Records provided by Staff-PPR Complete. Staff Name: �■ <br />