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:� i ED EHD LOG NUMBER <br />0 0 DO C IVSD SAN .JOAQUIN COUNTY <br />T G 4 2016 ENVIRONMENTAL HEALTH DEPARTMENT <br />�M 1868 East Hazelton Avenue, Stockton, CA 95205-8232 <br />ENVIRONMENTAL HEALTH Telephone: (209) 466-3420 Fax: (209) 464-0138 Web: www.sigov.org/ohd 8�1 q'i <br />PERMIUSERVICES PUBLIC RECORDS RELEASE APPLICATION <br />• APPLICANT: Lite Freeman BUSINESSIAGENCY: Green Environmental Management <br />ADDRESS: 1420 E Roseville Pkwy, Suite 140-262 CITYISTATEIZIP: Roseville, CA 95561 <br />PHONE (1); 916-677-9897 PHONE (2): FAX OR E-MAIL• ita reeman gmal .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 />• <br />❑ CHECK BOX TO EXPEDITE REQUEST - S139 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT ; : n "r DATE 10-3-2016 <br />1. List up to ten addresses in the space below. Select the type(s) of files from the list below 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. Applications received after 3:00 pm will be processed the neat business day. <br />2. For assistance In Identifying the nature and content of EHD records, please contact EHD at the number noted above. <br />3- The EHD will notify the applicant if any EHD files exist. An appointment for review will be confined 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 />4. Any file not returned in the same condition as released will ne reorganized by EMD staff at the expense of the applicant <br />Future file reviews by the same applicant may require a $139 deposit prior to review. <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM•5:OOPM (EXCLUDING HOLIDAYS) <br />Electronic Information: LJ List U Map — Description: 1 <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILE ADDRESS <br />EHD USE ONLY <br />FILES <br />® UNDERGROUND TANK (UST) <br />Street fi <br />Street Name <br />city <br />95 <br />WeSt 11 th Street <br />Tracy <br />n nn�" ❑CONBDMER <br />Lp�IFI�!I�;ty �GQ <br />CUMUP Sim (LOP) <br />a OTHER CL .g SITE (Np -Lap) <br />103 <br />West 111h Streak <br />Tracy <br />4 DapV <br />I-0PI—Ri�r 5 _ Ua <br />T. HP RDOUS WASTE❑ <br />Qz TIERED POW7TED FA 1 <br />2 <br />A90VEGRGUND TANK <br />❑ Prhi <br />❑' UST (MDwrt ..G I Re-Gv ) <br />HOUS MATERIAI.a <br />SATARD <br />© <br />D <br />I�^,�V-t�ltll <br />.1 SPILLJW F SE RESPONSE <br />1/� - WgTBiOWIITY <br />SGuO WASTE FAOILITv/VEHICLE <br />(v •v-I� <br />FOOD FA 1I <br />SDE MInCATON <br />POOLI SPA <br />0 1W <br />5 <br />LAND USE APPUCATION SITE- <br />NDuaNc <br />$FyNG FVMPgy TRACK I <br />YAnb / CH9nKx TDILCIS <br />B <br />WAST ATFR TREATRIFNT P4 <br />CA1PA <br />HOUNNG AMT@ENT <br />7 <br />Mo1ELIHOTEL <br />CUPA- LIST <br />F1 CH1Ci(EM PA CH J DGS KENNEL <br />x❑ MEDICAL WASTE FACII-M <br />9 <br />TAI "1 OWBUCY PIEKCING <br />SOLO WAeM <br />[] WASre TRE <br />e <br />COMPLAINT <br />rl OTNER(PLEASE SPECIFY): <br />❑ ACCOVNNW <br />10 <br />113 Records provided by Staff -PPR Complete. suff <br />eceived Time=Oct. 1. 2016=11:42PNFNo. <br />""PgAED AREA -END USE ONLY°°° <br />10/12 <br />