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08/26/2014 08:22 71493894 KH1LE DRN PAGE 01/02 <br /> HHD LOG NUMBER <br /> rf °� SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG 2 6 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: wWw.sjgov-org/ehd <br /> ENVIRRMITI ERVI IEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PERMIT/SERVICES <br /> APPLICANT: Jennifer Stecn BUSINESSIAGENCY: Riney-Horn and Associates,Inc. <br /> ADDRESS: _ 765TheCity Dr(ve,Suite 200 CITY/STATE/ZIP: Orange,CA 92868 <br /> PHONE(1): 714-705-1340 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 /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 8/25/14 <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streets Street Name Clty -__ ,IJ Unit1 <br /> F22. <br /> 620 - Charter Way x5361' Stockton. LC <br /> 515 Charterway-gs1, '�` � 21 Stockton �Itcy n508 CharterWay ;,1.`' ,A Stockton 440 Charter Way 7 U Stockton v✓` A3Unit 3 <br /> 5. 441 Charter Way IgAl i A✓' I 95r Stockton <br /> 6. 641 Charter Way s `I)y;r111 "�Stockton '��y�/t(✓TK 1_ nhA <br /> 7. 701 CharterWa J 3-0Ac i , `/'Stockton-. <br /> 8- 74.9 Charter Way 3!:;2, 6 Stockton ❑units <br /> 9. 18052 Charter Way tJ FF Stockton <br /> 10, 1S25 CharterWaaa7' " � Stockton l�unite <br /> Spaol9c Date Range of Informatlon Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> I�UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICALWASTE FACILITY ®SOLID WASTE FACILTFYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOvAL) ❑FOOD FACILITY ®DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WAs-E HAZARDOUS MATERIALS ❑MOTELI ICTEL ®PUMPERTRUCKIYARDICHEMICALTOILETS <br /> [�TIERED PERMITTED FACILITY ❑POOLISPA LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING EM COMPLAINT/RESPONSE RECORDS . []OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 5:00 AM-6:00PM(EXCLUDING HOLIDAYS) <br /> 1. r sLt u 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(209'1404-0138 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 atthe expense of the applicant, <br /> Future file reviews by the same applicant may require a $125 deposit prior to review. ""BOXED AREA- the <br /> USE ONLY"* <br /> El Records provided by Staff-PPR Complete. Staff Name: <br /> 4nena <br /> auopeae <br /> Received Time Aug. 26, 2014 8:03AM No- 6904 <br />