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7/12/2013 12:54AM FAX 3108540" [M0001/0001 <br /> DATE RECEIVED "I � '� I� EHD LOG NUNIBER <br /> SAN JOAQUIN COUNTY <br /> JVI <br /> ���L) ENVIRONMENTAL HEALTH DEPARTMENT <br /> `( 1868 East Hazelton Avenue,Stockton, CA 95205-6232 ' <br /> JUL 1 , 2013 Telephone: (209) 468-3420 Fax: (209)464-0138 Web: vArow.Sj9OV.ori chat <br /> 1 14 HEFIL 0 PUBLIC RECORDS RELEASE APPLICATION , <br /> NT�I auren Sagun BUSINESSIAGENCY: Andersen E ntal ' <br /> ADDRESS: 5261 West Imperial Highway CITYISTATEIZIP: Los Angeles, CA 90045 <br /> PHONE(1): 310-904-8529 PHONE(2):310-854-6300 FACSIMILE: 310-854-0199 <br /> TENTATIVE*APPOINTMENT DATE: 07115113-07/19113 Time: Morning <br /> (Please allot"10 business/ s from data of application submittal--Tetrfadi a only-must be confirmed) <br /> CHECK BOXTO EXPEDITEIREQU i 5125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGMA URE OF APPLICANT �I DATE 0 7111113 <br /> Electronic Information: ❑ Li p—Description: <br /> FILE ADDRESS _...........__..................._.._ EHD USE ONLY <br /> ......._._._....._...._....._...._._..........._........._._..__...._..._.......__............ ...._.. <br /> Street# Street Name city ❑unit 1 h l <br /> 1. 2245 West Chatter . ............ <br /> 2 - 'l ❑Unit 2 <br /> 3. Oa ,-h L Kf <br /> 4 Unit 3 <br /> 5. 1 fjle� �3✓> n/laL� / <br /> s. ..... ........_....._..... ....... �1_03_....._..�i.,t�....._..._..._._..fir,t 4 <br /> 4 <br /> 7. _.........._......_.........._...._..__.....__._.._..........__...........__..._..--- ....... <br /> 8. ---.........._..__..._ _unit 5.. <br /> ..._._.-_......._...__..._._.._.._.__...--..._..................... <br /> 9. <br /> 10 E]Unit 6 <br /> Specific Data Range of Information Requested: From a to a <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICALWASTE FACILITY ❑SOLID WASTE FACArIYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE . <br /> UNDERGROUND TANK(MONITORiNGIREMOVAL) ❑FOOD FACILHY - ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT - <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEI'AICALTOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINT[RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PPA(EXCLUDING 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(209)464-0138 or mail to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten (10} <br /> days after recelpt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <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$125 deposit prior to review. �o5tEt1 AR£A ENG U5lr oNi= <br /> a » <br /> te,.5,taffN <br /> ecards provided Ly S, ,3f -- <br /> :2 <br /> Received Time Jul. 12. 2013 12 52A No. 3569 <br />