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Jul/1/2014 1:29:36 PM `ilem Engineering Group Inc. 4085771099 1/1 <br /> EHD LOG NUMBER <br /> oAi �v SAN JOAQ,UIN COUNTY <br /> JUL 1 2014 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTALiTgtp4one; (209)468-3420 Fax: (209) 464-0138 Web: WWW.sjgov,org/ehd <br /> PFRMIITISERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Maria Ruvalcaba BUSINESS/AGENCY: Salem Engineering Group <br /> ADDRESS: 2211 Fortune Drive, Suite C CITY/STATE/ZIP:San Jose, Ca 95131 <br /> PHONE(1):408-577-1090 PHONE(z): FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 busineao days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE RE ST EE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information. ❑ List Et,Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ®Unit 1 <br /> SWC Blossom Court&State Route 88 Lockeford <br /> ( �. ❑Unit 2 <br /> $.— <br /> 4. <br /> 6. <br /> % <br /> 6. t �, ;��"i'�� , 1� %jv", �,ti{/ -r( r ,, f7. �, i _ unit 4 / <br /> 7. i <br /> F%L_t, �.,, i it r' '� Unit5 <br /> 10. Unite <br /> Specific Date Range of Information Requested: From to <br /> � ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �LINDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY OLiD WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SiTE(NON-LOP) ❑HousiNa ABATEMENT WASTE T(RE <br /> NDERGROUND TANK(MON)TORING/REMOVAL) ❑FOOD FACILITY DAIRY <br /> rR'ABOVEGROUND TANK ❑CHICKEN RANCH/Doe KENNEL ❑WASTEWATER TREATMENT PLANT <br /> AzARDous WASTE/HAWDOUS MATERIALS ❑MOTELIHOTEL ❑PUtAPER TRUCKIYARD/CHEMICAL.TOILETS <br /> TIERED PERMITTED FACILITY ❑POOLISPA ®LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRES PONS E RECORDS OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REviEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> 1. List up to ten addre$eel£in the space above. Select the type(s)of filed from the Ilstabove by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2051 484-0138 or mall to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Appllcations 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. Anyfile not retumed 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. '*`BOXED AREA:EHD:USE ONLY <br /> ❑ Records provided by staff-PPR Complete, Staff NaMe: <br /> can .e 5 814!12 <br /> Received Time Jul, 1. 2014 12 : 11PM No- 6473 <br />