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Bingham 11/23/2009 3 ; 03 :41 PM PAGE 2/002 Fax Server <br /> swo %ft+ <br /> EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> f 09 600 East Main St. Stockton, CA 95202-3029 <br /> p J� ephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org e d <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:-Doug Larson BUSINESS/AGENCY: Bingham McCutchen LLP <br /> ADDRESS: Three Embarcadero Center CITY/STATE/ZIP: San Francisco, CA 94111-4067 <br /> PHONE (1): 415.393.2796 PHONE (2): FACSIMILE: 415.393.2286 <br /> TENTATIVE''APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal -'Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST Q" 7'"91H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> '.t`� DATE November 23, 2009 <br /> SIGNATURE OF APPLICANT _ <br /> Electronic Information: ❑ List ❑ Map —Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> r2. <br /> 848 W.Fremont Stfeet Stockton <br /> ❑Unit 2 �f. <br /> 4. _. — — _ nit 3 <br /> 5. <br /> 6. to <br /> 7. <br /> 8, ❑Unit S <br /> 9. <br /> 10, ❑Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUNDTANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLIDWASTE FACILITY/VEHICLE <br /> ©OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> ®UNDERGROUNDTANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIEREDPFRMITTED FACILITY ❑MOTELMOTEL ❑PUIVPFR TRUCKIYARD/CHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW'. MONDAY-FRIDAY 8:00 AM-5:00PM(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 (2091 464.0138 or mail to the address indicated above. Address <br /> ranges will not be accepted -for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the appdcani 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 /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <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$115 deposit prior to review. <br /> S. If you need further assistance,please contact DFane Martinez,at (209)468-3425. <br /> EHO USE ONLY <br /> EHD 48-06 &'27109 <br />