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pr-2014 20:S9 - • 14154847068 p,1 <br /> ■ <br /> WEWED SAN JOAOUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT �� <br /> APR 2 3 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jason Smith BUSINESS/AGENCY: Partner Environmental <br /> ADDRESS: 413 Ewell Ave. CITY/STATE/ZIP: Aptos, CA 95003 <br /> PHONE(1): 310-422-7567 PHONE(2): FACSIMILE: <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date o1 application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK ROX TO ExPEDITE REQ -$125 FEE(CASH OR ECK 0 ) REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE April 22, 2014 <br /> Electronic information: F1 List n Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street If Street Name , City ❑Unit 1 <br /> 1. 36-46 N. California Ave. .h em /h`I/ I Stockton, CA <br /> 2. 500-528 E.We*Ave. t , n y/ ( Stockto0. CA <br /> ❑Un, <br /> t 2 <br /> 3. �4?e6 .� ��� �17����ladt 6&/ <br /> 4. Sb 2�b <br /> jEn,,,It <br /> 5. <br /> 6. E"% L� L <br /> 7.8. <br /> 9. <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 1L❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACIUTYNEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT El WASTE TIRE <br /> UNDERGROUND TANK(MONRORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEUHOTEL ❑PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> ©TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑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(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.Elle reviews by the same applicant may require a$125 deposit prior to review. <br /> %Received Tim,- r. 22. b'20141} �: ,6PMoNo. 5661�+ <br /> - -EHD 45.06 <br /> Bran 2 <br />