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e� JED <br /> SAN JOAQUIN COUNFIL Copy EHD LOG NUMBER <br /> SUN 2 3 2011 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> EN\jj 0N�AF-SERV GEAT-V1*phone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> P PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Sau San BUSINESS/AGENCY: Partner Engineering & Science <br /> ADDRESS. 400 2nd Street, Suite 415 CITY/STATE/ZIP:San Francisco, CA 94107 <br /> PHONE (1): 415-373-6317 PHONE(2): _ FACSIMILE:415-889-6020 _ <br /> TENTATIVE*APPOINTMENT DATE: Time: _ <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE R - 122 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 6/23/11 <br /> Electronic Information: ❑ List nVap-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 4 _ Street Name City ❑Unit 7 <br /> - <br /> 1. 2402 South California Street Stockton <br /> 2. <br /> 3. <br /> 4. <br /> — ---- ✓Unit 3 <br /> 5. — <br /> 6. -- - -- - - -- --- - F3 nit 4- <br /> 7. <br /> 8. - — ❑ Unit 5 <br /> 9. <br /> Unll 6 <br /> Specific Date Range of Information Requested: From All to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT SOLID WASTE FACILITY/VEHICLE PD'Z?W d`"�O <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELMOTEL 1A PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> TATTOO/BODY PIERCING ❑POOLISPA V4LAND USE APPLICATION SITES <br /> .MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(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 receipt 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$122 deposit prior to review. <br /> EHD USE ONLY _ <br /> EHD 46-06 <br /> 07/79/10 <br />