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DATERECEIVED E ��hyy��-- V�,,-- EH15 NUMBED <br /> �'AN JOAQUIN COUNTY <br /> RECEIVED ENVIRONMENTAL HEALTH DEPARTMENT G <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> APR 2 4 2014 Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org hd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ENVI <br /> PWL(RVf 9E&zanne Johnson BUSINESS/AGENCY:Wenck Associates,Inc. <br /> ADDRESS: 1800 Pioneer Creek Center,P.O.Box 249 CITY/STATE/ZIP:Maple Plain,MN 55359 <br /> PHONE(1): 612-416-1547. PHONE(2): FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: In town only one day:April 29-Next Tuesday Time: <br /> (Please allow 10 business days from data of application submittal-*Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT_ DATEApri124,2014 <br /> Electronic Information: X] List x Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ❑Unit 1 <br /> e 1. 1400 Waterloo Rd Stockton S n r S p <br /> 0, 2 4648 Waterloo Rd Stockton <br /> ///��� 11015umF3 �s ❑Unit 2 <br /> 3. Please see attached three leaking underground storage tank file sites for to/ <br /> the above addresses.I am requesting to see all of the file information for <br /> 4• these release sites.I am also requesting any other UST/AST/Hazardous 3 <br /> 6 Waste/Release Cleanup files for these sites.I will only be In town next <br /> Tuesday,April 29.Thank you very much,I appreciate if you could expedite <br /> S this in order to have these rales available to me!-Suzanne 612418-1547 <br /> ❑ Unit <br /> 7. be rs dtxrre yrorAp p®of <br /> 8. <br /> to `K e- ' I ❑Unit 5 <br /> 9. VU� <br /> 10. <br /> ❑ Unit <br /> Specific Date Range of Information Requested: From 1900s _ to present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES �"EIS <br /> n UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [:]MEDICAL WASTE FACILITY []SOLID WASTE FACILITYNEHICLE rX <br /> [X]OTHER CLEANUP SITE(NON-LOP) ❑HOUSING A13ATEMENT ❑WASTE TIRE I e'Q <br /> FXJ UNDERGROUND TANK(MONTORINGIREMOVAL) El FOOD FACILITY ❑DAIRY cI.2.� i� <br /> n ABOVEGROUND TANK [j CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT Urv'} <br /> [XI HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S: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-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 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 /> 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$125 deposit prior to review. *"BOXED AREA-EHD USE ONLY <br /> q-2,5114 1 6T0WG 9 <br /> *QMki cktterl e er U T { rlu o4 �. <br /> 52 1e� �blo' �� e I der CBD000stq ,✓1 /`SOU w�4erjeo I p Ie— �a�( <br /> bu-AAA'M 228ECI 2RL4q4­oE6 for fff ob,I;hI Nob loo. ProdcW Iiicrte,J ref- I?,-WNI 5 iAW-o)NC/4 rod <br /> licownlerleo: ?,-uvikw u4RJi2L.b..Qalz4 Li.& 4 Q+:- 4piLoct;' ,J <br /> A-&—'i'46LW C-0 of TP rt4C50 cairfJLV. )WrcU rbfG¢w+1 Jie.ac Jreas� 'a:,9.i4/isftArurna� <br /> C-4,J ADv4 Eleci-ner je(F sum (=l-�manr furnrFuhu-Men,'e . 4p,d- <br />