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ffA h��U=�� � sHoLOG NUMBER <br /> U \� �=�" AN�OAOU|N (�DUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT [ <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (2O9)4O8'342OFax: (2OS)4O4'O138Web:wvmw.sjgovorg/ehd <br /> VBLx� PUBLIC RECORDS RELEASE APPLICATION <br /> APP66AN'T": : lorie Diaz-Liddicoat BUSINESSIAGENCY: Trio Real Estate, Inc. <br /> ADDRESS: 3202 W. March Lane, Suite A C|TY/8T4TE/Z|P: Stockton, CA 95219 <br /> PHONE (1): — PHONE (2): FAX ORE'K8A|L: loriediazliddicoat@gmail.com <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-$139 F OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OFAPPLICANT DATE 8/24/2016 <br /> 1. List up to ten addresses mthe space bi omect the typa(o)offiles from the list below uychecking the appropriate <br /> box(es). Atleast one file type MUST bes'gected. 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 /> U. The EHDwill notify the applicant ifany EMDfiles exist. Anappointment for review will beconfirmed approximately ten (1U) <br /> days after receipt ofapplication. The files will beheld for amaximum offive business days for review. Appointments <br /> should bescheduled 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$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY O:O0AM'6:DOPM(EXCLUDING HOLIDAYS) <br /> Electronic information: El List El Map—Description: 1624 E. Alpine Avenue. Stockton, CA I APN: 117-086-006 <br /> Specific Date Range ol Inlorrnation Requested: From, 1999 LU Current Date 8,24.16 <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> F,�UNDERGROUND TANK(UST) Street Street Name c1tv <br /> CLEANUP SITE(LOP) CONSUMER <br /> OTHER CLEANUP SITE(NON-LOP) !--I <br /> HAZARDOUS WASTE jLt E]DAIRY <br /> TIERED PERMITTED FACILITY 2 <br /> ABOVEGROUND TANK <br /> LIST (MONITORING/REMOVAL) E]PWS <br /> F_�HAZARDOUS MATERIALS 3 <br /> SPILURELEASE RESPONSE <br /> E�rWATER QUALITY <br /> SOLID WASTE FACILITY/VEHICLE 4 <br /> FOOD FACILITY <br /> F]DAIRY 5 <br /> LAND USE APPLICATION SITES <br /> SEPTIC PUMPER TRUCK HOUSINC <br /> YARD/CHEMICAL TOILETS <br /> WASTEWATER TREATMENT PLANT E�cl­)PA <br /> HOUSING ABATEMENT 7 <br /> F-]MOTELIHOTEL <br /> F-1 CHICKEN RANCH/COG KENNEL 1q/CUPA-UST <br /> MEDICAL WASTE FACILITY <br /> TATTOO/BODY PIERCING <br /> Fx WASTE TIRE QSOLIO WASTE <br /> COMPLAINT <br /> OTHER(PLEASE SPECIFY): E]AccouNTING <br /> 10 <br /> Any contamination information, <br /> 0 Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 <br /> - - . <br />