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■� AUG-04-2015 TUE 09:20 AM COLLIERS INTERNATIONAL FAX N0, 2094755102 P. 01/01 <br /> DECEIVED <br /> � EHD LOG NUMBFR DATAUTU Nis SAN JOAQUIN COUNTY I <br /> EwRONMENTAL HEALTH DEPARTMENT I� <br /> EMItRONMENTALHE&7H 1868 [vast Hazelton Avenue, Stockton,CA 95205-6232 1 <br /> PERMIT(SERVICESTelephone: (209)468-3420 Fax:(209)464-0130 Web: www.$)gov.org/ehd <br /> PUBLIC VZECOiRDS RELEASE APPLICATION <br /> APPLICANT: _�i�S1L4 O ( �G. BUSINESS/AGENCY: tl Q p l h V eY+i�t <br /> ADDRESS: �33to ti, -7T• ►Y1Gt✓' M Ur.— <br /> CITY/STATEIZIP: *te$MD e C� 41344 <br /> PHONE(' (2): FACSIMILE: <br /> Please allow 10 business days from date.of appileation submittal for the records to be available. <br /> Staff will contact you to arrainge an appointment date and time to review the requested records. <br /> ❑CHECK Box TO EXPEDITE REOUEE�-$190 FEE;(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 9 BUSINESS DAYS <br /> SIGNATURE OFAPPLICANT�y� L DATE <br /> Electroniclydormatlonl nListElMap-Description: <br /> FILE ADDRESS EHO USE ONLY <br /> streetfl Stmot Naito CI(y <br /> G 5 - 40e rq_ W `' <br /> z. y E)UnitI <br /> 4. �T- �J 9v ¢ll n .2H <br /> 6• \—� -�1t unito <br /> 7• UnH4 <br /> S• - I ID'SIT9 MITIGATION <br /> 9. <br /> 10. <br /> Spool io Date Range of Information RogOostod: From 3 -' to L 1'Y <br /> ENV RONMENTAL H ALTH DEPARTMENT FILL'S <br /> UNBERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICALWAsTEFACIUTY El SOLID WASTE FACILIVIVEHICLE <br /> TIER CLEANUP SITE(NON•LOP) HOUSING ABATEMENT i]WAVFE TIRE <br /> MliNDERGROUND TANK(MONITCRINWREMOVAL) ❑FOGDFACILITY ❑DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCHI Dog KENNEL ❑WASTEWATER TREATMENT PLANT <br /> �P`14AtAR000S WASfEMAZARDOUS MATERIALSMOTaIHOTa. E••1]- PUMPERTRUCKIYARNCHEMICAL TOILETS <br /> ❑TIERED PERMITTED tL <br /> FACILITY ®PODLJSPA I LAND USE APPLICATION SITES <br /> ❑TATTOOISODY PIERC1Ne ❑COMPLAINTIRESPCNatl RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAY& <br /> t- List un to pn addresses In tha spaco above. Select the types)of files from the(let above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091484-0138 or mall to the address Indicated above,. Add rose <br /> ranges will not be accepted.Applicatlone received after 3:00 pm will be processed the next bualnese day. <br /> 2. For assistance In Identifying the nature and content of EHD records,pleoso contact EHD of the number noted above. <br /> 9. The EHD will notify the applicant If any EEHD flies exist. An appointment for review will be confirmed approximately ton(10) <br /> days after recelpt of application. The fills will behold 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 etthe expense ofthe applicant. <br /> Future file reviews by tho some applicant may require a$130 deposit prior to review. "`LioXED ARBA-EHD}�1SE ONLY <br /> oJ�,1a G rh�ert r 139r1 rnm'ti ___,_� - - <br /> 13 Records provided by Staff-PPR Complete.staff Name: <br /> EHD 4W rune <br /> Received Time Aug, 4, 2015 10: 30AM No. 9245 <br />