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a To: 12094640138 From: 1910%0000w ung �.. i --•• -• _ <br /> Fz 6 <br /> REr <br /> d <br /> E Q LOG NUMBER <br /> • APR 0 0 2016 ENVIRONMENTAL HEALTH DEPARTMENT <br /> p3qZ <br /> T�.tl���� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMEt�TALHE]�I.TYI hone: (209)468-3420 Fax.. (209)464-0138 Web: Awwt.sjgov.org1ehd <br /> PERMIT/SEcVIC-M PUBLIC RECORDS RELEASE APPLI ATM <br /> APPLICANT: Erin Base, BUSINESSIAGENCy: ENEPCON <br /> ADDRESS: 1451 River Park Drive Suite 100 CITYISTATEIZIIP: Sacramento, CA 95815 <br /> PHONE(l): 916-480-9565 PHONE(2); -mail: eloaoalo5cnercon.cF CSIMILE: 916-480-0603 <br /> please allow 10 business days from date of application submittal forthe records to be available. <br /> Staff Will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK SOX TO EXPEDITE RFQUF T-$130EE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> Sl.frr4ATtUREIOFAPPLICANT ✓ SSA€E aTizu,s <br /> Electronic Informatlan: ❑ Li,t ❑ geap-Descriptian: <br /> FILE ADDRESS EHD USE ONLY <br /> street# Street Name City <br /> .. ..._.._... ... . _........._ .. .......... ...__.--. <br /> 126 a d 98 East Poplar Street Stockton <br /> eo9, eas, North El Dor do Street Stockton Unit i <br /> 2' 846 901 <br /> kton <br /> (§• 826, 890, 098 [J Centex St Stocnh2 <br /> 4 ❑Unit 2H <br /> 'Pease marecords on a CD <br /> S <br /> Un It 3 <br /> 7. j ❑Unit 4 <br /> .. ,.....__ E SITE MITIGATION <br /> g <br /> 1 E1. UnIt 5 <br /> Specific Date Range of tnfennadon Requested: From *11 to A11 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> []UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q MEOICALWASTE FACILITY SOLID WASTE FACLLaYNENi„LE <br /> 0 OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT O WAST ETIRE <br /> 0 UNDERGROUND TANK(MoNmORINGIREMOVAL) ❑FOOD FACILrrY ❑DAIRY <br /> Q ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL Q WASTEWATERTREATMENT PLANT <br /> ❑x HAZARDOUS IWASTFJHAZARDOUS MATERIALS 0MOTELINOTEL ❑PUMPER TRUCKIYARDICSEMICALTOILEfS <br /> N TIERED PERMfrTm FACILITY []POOUSFA ❑LAND USE APPLICATION S.n'ES <br /> ❑TATTOWBODY PIERCING ❑x COMPLAINT.IRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AYAtLABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAY$) <br /> 1. List un to tem addresses in the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(as). At feast one file type MUST be selected. Fax to(2091464 61136 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 ERR records,please contact END at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD fifes exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flies will be held fora 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€pplicant may require a$130 deposit prior to review. "-BOXED AREA-EHD USE ONLY-k <br /> d <br /> :R�e_co_rdsprovi�dedtaff Name: ' <br /> EHD 4"S <br /> Received Time Apr. 7. 2010 4:58PM No. 0676 <br />