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'LO/LC71'i YJO:LL (14�3t3�4t3t3 KIMLEY HUKN 01/02 <br /> � A iF:RECCJfD� <br /> SAN JOAQUIN COUNTY PRYMR <br /> r <br /> V ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG 2 6 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 4640138 Web: www.sjgov_org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Steen BUSINESSIAGENCY: ICimlcy-hTorn anal Associates,I i <br /> ADDRESS: 765 The City Drive,Suife 200 CITY/STATE/ZIP: Orange, CAW <br /> PHONE(1): 714-705-1340 PHONE(2): FACSIMILE: <br /> Please allow 10 business days from date of application submittal for the records to be available. q�z01 <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> [] CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCF_SSF_D IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE $/25/14 <br /> Electronic Information: ❑ List❑ Map--Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> Street# _ _- Street Name City cA ,Ll Unit 1 <br /> C9 620 _Charter. Way A6,1', ' Stockton. <br /> 2. 5I5 Charter Way• �'�I. `' S �;�y6L Stockton <br /> nit 2 <br /> _v 50 <br /> 508 Charter Way'2 � �' q�'7 �a Stockton Neco- ,vdi 3 <br /> 4. 1 <br /> 440 ChartcrWay ,U Stockton NDf��1,,�¢3 .� unrcs <br /> 5. 441 Charter Way 119-11 �C3 /,�?�15�' Stockton C1ozk�e 1 s 1 Nccc <br /> Y 641 Charter Way �. 3.`sh `� `i Stockton <br /> `"Q , , w unity <br /> 2J7. 701 Charter Way ®ROStockton. *ti 5 Neu�P <br /> 749 Charter Way 3i.b Stockton Nepo C.CC>, W p unit s <br /> s 9• __ 18052 Charter Wa N F ~Stockton �1Df'� Jcc>✓�� <br /> r 10- 1825 Charter, Wa ��`��' Stockton y -%(p` L,fgy . units <br /> (1 C Speciflc Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY SOLID WASTE FACILITY/VEHICLE <br /> .� OTHER CLEANUP SITE(NON-LOP) Q HOUSING ABATEMENT WASTE TIRE 61)ss <br /> S Jc ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ®DAIRY �. <br /> ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT Y � <br /> ®HAZARDOUS WASTEIHA7ARDOUS MATERIALS ❑MOTELIHOTEL ®PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ya TIERED PERMITTED FACILITY ❑POOLISPA LAND USEAPPLICATION SITES <br /> i(` ❑TATToOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> y WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00pm(EXCLUDING HOLIDAYS) <br /> 1. L.is up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> u7:T box(es). At least one file type MUST be selected. Fax to(2091404.0138 or mail to the address indicated above. Address <br /> h 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 /> ,*, gy days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> N should be scheduled accordingly. <br /> U4- 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> s Future file reviews by the same applicant may require a$125 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> • `b-1`� art;vtris! cG <br /> )DuaILVA4 O ;, o 14,�M 6 6 l ✓/ew kr t 5 rr rh_ <br /> mcg 94.E r , iexci ,'r 7L, 1��.� dR7 - y <br /> _ (c -j t&uA (_o S 16b) - MM <br /> 0r1 („� 515 �lp� e P :x 6 �'P <f�ll r k <br /> EHD 40-06 <br /> G ' � Clt�,us ) " <br /> �Received Tim Aup,. 6 014 R* . 6904 50$ .4126114 <br /> � -�l(;*c, <br /> " y , ,No - <br /> = � o u�'s'��u�r <br />