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'U`14-11D <br /> ���IVEI 1.59529421 >12094640138 <br /> SAN �OAQUIN COUNTY cH°LOG NUMBER <br /> I MAR 2 4 201? ENVIRONMENTAL HEALTH DEPARTMENT-. <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �. <br /> ENVIRONMENTAL� f done: (209)468-3420,Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PEP.i>IrlIT/SERV ,ES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Brian Kim BUSINESSIAGENCY: Partner Engineering & Science, Inc. <br /> ADDRESS: 111 pine Street .Suite 1750 CITY/STATE/ZIP: San Francisco CA 94111 <br /> PHONE(1): 415 6${)-$953 PHONE (2): FAX OR E-MAIL: bkim@ artneresi.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> CHFE;K.BOX TO EXP!^DIT R tJtwST +73D FEF GP SH 4R CHIwC C�7NL'y. REQUEST PR{?G1=SS D:IN 3. 15't 1E�S i <br /> 'YS <br /> SIGNATURE OF APPLICANT , - DATE– March 24, 2017 <br /> Electronic information: ❑ List❑ Map—Description: <br /> FILE ADDRESS <br /> Street# Street Name City END USE ONLY <br /> 2. <br /> 627 North Wilson WAy Stockton ���I-I d-z- <br /> unit <br /> 3. <br /> Unit 2 <br /> 4. <br /> Unit 2H <br /> 5. <br /> } Unit 3 <br /> fir+ s ��JJ <br /> Unit 3klM <br /> 7. - <br /> --- -� -- C]Unit 4 <br /> 8. <br /> Q SITE MITIGATION <br /> 1� 9/unit S <br /> Specific Date Range of Intormation Requested: From All to All <br /> E�IV1 (+IT H f_W"DEPIIFRT1Vil NT MLPs— — <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑Q MOTELIHOTEL 0 SOLID WASTE FACILITYIVEHICLE <br /> Q OTHER CLEANUP SITE(NON-LOP) Q HOUSING ABATEMENT Q FOOD FACILITY <br /> XQ UNDERGROUND TANK(MONITORING/REMOVAL) Q WASTE TIRE Q DAIRY,POOLISPA <br /> XC1 ABOVEGROUND TANK Q CHICKEN RANCH/DOG KENNEL Q WASTEWATER TREATMENT PLANT <br /> X❑HAZARDOUS WASTE 0 MEDICAL WASTE FACILITY ®PUMPER TRUCK/YARDICHEMK:AL TOILETS <br /> Q HAZARDOUS MATERIALS Q TATTOOIBODY PIERCING 0 LAND USE APPLICATION SiTES <br /> Q TIERED PERMITTED FACiLrry �jK COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY$: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)464-0136 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 END records, please contact END at the number noted above. <br /> 3. The END will notify the applicant if any END 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 END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. <br /> —.BOXED AREA-END USE ONLY`** <br /> ["t 07 <br /> w747 .}r....:.1.,.) bar Ci�fi_I]ESC /+ rr...�.,�., Staff Nanle: <br /> Received Time_Mar. 24. 7017- 1 .42PM°N 711096 <br />