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CEIVEb SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> DEC j 2 2016 ENVIRONMENTAL HEALTH DEPARTMENT 95149 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �ltt ALF phone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> P EMMrf/JiERyS_E <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Lauren Sagun BUSINESS/AGENCY: EFI Global <br /> ADDRESS: 5261 W.Imperial Highway. CITY/STATE/ZIP:Los Angeles,CA 90045 <br /> PHONE (1): 310-854-6300 PHONE (2): FACSIMILE: <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 /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 12/9/2016 <br /> Electronic Information: ❑ Llst ❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. 103 West 11th St. Tracy LJn+ tai <br /> 2. 95 West 11th St. Tracy LOP4-h ortry-co M Unit2 <br /> 3. 1131 Holly Dr. Tracy Lop_ C.Q <br /> 4. 1034 Central Ave Tracy 49P} Qexr - CO r/unit3 <br /> 5. 68 East 11th St. Tracy Of,t_ ft4—c,Q <br /> 6. /(,up 4 <br /> 07. m Hnt" <br /> 8. nn/ <br /> ✓yam ❑Unit 5 <br /> s. Iz-t3-Ib <br /> 10. <br /> ❑Unit 6 <br /> Specific Date Range of Information Requested: From earliest to present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑� UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [_1 MEDICAL WASTE FACILITY <br /> ❑OTHER CLEANUP SITE(NON-LOP) EI HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE <br /> ❑WASTE TIRE <br /> ❑� UNDERGROUND TANK(MONITORINGIREMOVAL) F1 FOOD FACILITY <br /> ❑� ABOVEGROUND TANK ❑DAIRY <br /> ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEMAZARDOUS MATERIALS ❑MOTELMOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ❑COMPLAINTIRESPONSE RECORDS <br /> ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(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.Applications received after 3:00 pm will be processed the next 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 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 /> 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$130 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 <br /> Demvi4 <br />