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10/12/2016 12:48 PM 14159529421 >12094640138 n 2 <br /> DATE RECEIVED <br /> ECIEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT � �� I <br /> OCT 12 2016 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/eh <br /> • ENVIRONMENTALHEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Brian Kim BUSINESSIAGENCY: Partner Engineering&Science, Inc. <br /> ADDRESS: 111 Pine Street, Suite 1750 CITYISTATE/ZIP: San Francisco, CA 94111 <br /> PHONE(1): (415)680-8953 PHONE (2): FAX OR E-MAIL: (415) 952-9421 <br /> Please allow 30 business days from date of application submittal for the records to be available. <br /> Staff will contact you tD arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ''-1-- DATE October 12, 2016 <br /> Electronic Information: ❑ List ❑ Map- Description: <br /> FILE ADDRESS <br /> Street tt Street Name City EHD USE ONLY <br /> 1. 875 South Tracy Boulevard Tracy <br /> r 1012p <br /> 2. 101;44/1 o l V Dunn 1 <br /> 3. <br /> unit 2 <br /> 4. <br /> Unit ZH <br /> 5. <br /> Unit 3 <br /> • 6. <br /> Unit 3 <br /> ❑Unit 4 <br /> s. <br /> SITE MITIGATION <br /> 9. 1 <br /> 10. All All 2 Unit B <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑x MOTELIHOTELx❑SOLD WASTE FACLrrYNEHICLE <br /> ❑x OTHER CLEANUP SRE(NON•LOP) Q HOUSING ABATEMENTX❑FOOD FACILITY <br /> ❑X UNDERGROUNDTANK(MONITORINGIREMOVAL) ❑x WASTE TIREX❑DAIRY,POOL/SPA <br /> ❑x ABOVEGROUND TANK ❑x CHICKEN RANCH/DOG KENNELX❑WASTEWATER TREATMENT PLANT <br /> Q HAZARDOUS WASTE ❑X MEDICAL WASTE FACILITY X❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ❑x HAZARDOUS MATERIALS ❑X TATToo/BODY PIERCING x❑LAND USE APPLICATION SITES <br /> x❑TIERED PERMITTED FACILITY ❑X COMPLAWRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: 14ONDAY•FRIDAYB:OOAM•5:00PM(EXCLUDNG 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(2091 49A.01313 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 END 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 reviews by the same applicant may require a$130 deposit prior to review. <br /> —BOXED AREA-EHD USE ONLY— <br /> n oe......a� .Ir....ATA b.,c•4fr-000 r ..,..te•e Staff N e: <br /> Received Time=Oct. 12. _2016=12:46PIv�No, 0145 <br />