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To: (Page 2 of 2 2015-02-04 17:14:18(GMT) • 14155205858 From: Carrie Locke <br /> OAT RMEIGEIVED SAN JOAQUIN COUNTY EHD LOG NUMBERColt <br /> FEB 0 4 2015 ENVIRONMENTAL HEALTH DEPARTMENT 1868 East HazeltonAvenue,Stockton,CA95205-6232 �'] <br /> Telephone:ENVIRONMENTAL HEA (209)468.3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd �o( <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Carrie Locke BUSINESSIAGENCY: Partner Engineering 8 Science <br /> ADDRESS: 1819 Jackson Street, Apt.'4 CITYISTATEIZIP:San Francisco, CA 94109 <br /> PHONE (1): 415-505-8090 PHONE (2): FACSIMILE:415-520-5858 <br /> TENTATIVE'APPOINTMENT DATE: Please call Time: <br /> (Please allow 10 business days from date of application submittal-`Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$1-1 FGF irncu na ru crlIf�Holl v)_REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 02-04-15 <br /> Electronic Information: ❑ List❑ Map— Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑unit 1 <br /> 1 y) (even#'s <br /> only) <br /> North California Street Stockton <br /> ani ) <br /> 2 only) <br /> y 4(even#'s East Weber Avenue Stockton —1� <br /> El unit 2 _j <br /> 3. onl <br /> 4. <br /> 0 unit 3 <br /> 5. <br /> 6. s Ef;Unit 4 <br /> 7. <br /> S. <br /> ❑Unit 5 <br /> S. <br /> 10. <br /> p-tit s <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY ❑SOLID WASTE FACIUTYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY8:00 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(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 prlorto review. "8OXE6 AREA EHD USE ONI Y <br /> 1i <br /> ❑ Records provided by Staff-PPR Complete, staffN-ani <br /> Received Tiroe-Feb. 4,. -2015 9 1 02G <br />