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I■: 08/2G/2014 08:22 714938940 KINILEY HORN PAGE 01/02 <br /> !■ 1 <br /> ■ C §CEfl a ` = EHD LOG NUMGER <br /> SAN JOAQUIN COUNTY <br /> ■ ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG 2 6 2014 1868 East Hazelton Avenue, Stockton, CA 96205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov-org/ehd <br /> ENVI RON N4 EN TAL H EALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: jertnifer Steen BUSINESSIAGENCY: Kimley-:R.orn an,d.A.ssociates,Inc. <br /> ADDRESS: 765 The City Drive,Suite 200 CITY/STATE/ZIP: Orange, C.A. 92868 <br /> PHONE(1): 714-705-1340 PHONE(2): FACSIMILE: <br /> Please allow 10 business days from data 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 /> ...l.r„tl; <br /> SIGNATURE OF APPLICANT DATE S/25/14 <br /> Electronic Information: ❑ List E] Map—Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> Street Namo -- city Unit 1 <br /> 1. 620 Charter. Way.253L-�I' Stockton. -)-LO —-- _ <br /> 2. 515 _Charter Wa .��I, '�`' `?; 4'6t <br /> y Stockton II' y nitZ <br /> 3• .ly " -Q -5; Stock-ton `ts+ ,' <br /> 4. 440 Charter Way r q !� Stock-ton r✓` ,p unit a <br /> 5. 441 Charter Way iq_,Ai I '� 'l;JbSP Stockton ��. I` ' <br /> B. 641 Charter. Way. ��N)J ��e :1`� cJ Stockton Z.ric a <br /> 7. 701 Charter Wayir;6`11 k Stn�l nn. <br /> ^8. 74.9 Charter Way 33,� ala Stockton ®unit 5 <br /> 9. 18052 Charter.Way j� FF ^�Stocli-ton <br /> 10.• 1825 Ch.arte,r.Way '` ' �''�`'� � Stockton <br /> y1 Unft 6 <br /> Spocifle Date Range of Information Requested: From to ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY SOLID WASTE FACILITYIVEHICLE <br /> LK]OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING(REMOVAL) ❑FOOD FACILITY ®DAIRY <br /> El 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 /> ❑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. L.ls up to ten addresses in the space above. Saloct 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)404-0138 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 fife 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-EHD USE ONLY"" <br /> CI Records provided by Staff-PPR Complete. Staff Name: <br /> 7 19_66 4/20174 <br /> Received Time Aub, 26, 2014 8.03AM Pio. 6904 <br />