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t EHD LOG NUMBER <br /> DATE RECEIVED � � SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> r + 1868 Past Hazelton Avenue, Stockton,.CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: .(209)464-0138 Web: www.sjgov.orglehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Erica Burkert BUSINESSIAGENCY: ECOLAB <br /> ADDRESS: 1601.West Diehl Road 'CITYISTATEIZIP:.Naperville, IL 60563 <br /> PHONE (1): 630-305 2117 PHONE(2): FACSIMILE: <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 /> F ❑ CHECK BOX TO EXPEDITE REQUEST-$13D FEE SH OR HECK ONLY}-REQUEST PROCESSED 1N 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1 011 51201 4 <br /> Electronic Information: ❑ List❑ Map---Descriptio : <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City y Unit 1 } <br /> Stockton <br /> F_2. WmnCQ 5110 Montaliban Avenue <br /> W.nCo r ❑unit 2 <br /> 3. �. <br /> 4. [HOP 1150 East Yosemite Avenue Manteca ❑ Unit 3 <br /> 5. <br /> 6. ❑ Unit 4 <br /> 7. C hili's 2031)West Grant Line Rnad Tracy <br /> 8. ❑Unit 5 <br /> 9. R S t,t 19 i1 <br /> 10. ❑ unit 6 <br /> E Specific Date Range of Information Requested: From PLEASE SEE ATTACHED to FOR DETAILS <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 /> ❑UNDERGROUND TANK(MONITORINGIREMOVAL) ]FOOD FACILITY' ❑DAIRY <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> F1 HAZARDOUS WASTElHAZAROOUS MATERIALS ❑MOTELIHoTEL E]PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> a ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW:.-MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to teen 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)484-0138 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 /> I 2. For assistance in identifying the nature and content of EMD records, please contact EHD at the number noted above. <br /> 3. The END 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 6y EHD staff at the expense of the applicant. <br /> i Future file.reviews by the same applicant may require a$130 deposit prior to review.' —BOXED AREA-EHD USE ONLY*** <br /> D <br /> f -PPR Corn fete. Staff Name:Records provided by Sta f p. _ <br /> .: 08l01M <br /> i END 4M6 - <br />