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rom:Enk Brown - .Fax:(888)828-2635 To: 12094640138@rcfax.cc Fax: +12094640138 Page 2 of'2 06/182015 6:23 AM <br /> RECEIVED `' - <br /> DATE RE EHD LOG NUMBERSAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-623230 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: wwwsjgov.org/ehd I <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Erik Brown BUSINESSIAGENCY: Partner ESI <br /> ADDRESS; 520 Shelly Drive CITY/STATE/ZIP• Pleasant Hill, CA 94523 <br /> PHONE(1): _(925)262-8101 PHONE(2): (925)305-5337 FACSIMILE. (888)828-2635 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. ... <br /> ❑CHECK BOX TO EXPEDITE REQUEST- SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS,DAYS <br /> SIGNATURE OF APPLICANT 1 A . DATE <br /> I.ElectronIcInZimatlon- ❑ List❑Map—Description- <br /> FILE ADDRESS END USE ONLY <br /> wast 0 street Name city <br /> .. ... .. ._.... . . .... 0 Una 1 <br /> 1. 1301 East Lockeford St Lodi <br /> ; rq o aaao l a v P4 unit2 <br /> Z 2 <br /> 3. <br /> ...... ..... ❑Una 3 <br /> . ... <br /> .... .. ... Unit 4 <br /> El units <br /> 10. <br /> _.. ------- - —- - Unit e <br /> Specific Date Range of Information Requested: Frean All to All <br /> ENVIRONMENTAL HEALTH DEPARTMENT.FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY - ❑SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) LD HOUSING ABATEMENT - , WASTE TIRE - <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK S CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEMAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCK/YARDICHEMKIAL TOILETS <br /> ©TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES - <br /> ❑TATTOOr6ODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL./UID SEPTIC PERMIT RECORDS ARF AVAILABLE FOR REVIEM WOND0TRIDAY8:00 AN S OOM(EXCLUDING FIOIJDAYs) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by cheding the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mall to the address Indlceted above Address ... <br /> 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 riles 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 rive business days for review. Appointments <br /> should be scheduled accordingly. <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$130 deposit prior to review. "'BOXED AREA-EHD USE ONLY*'- <br /> ........ . . <br /> ❑ Records provided by,.Staff-PPR Complete.staff Name: <br /> Received Time Jun, 18. 2015.. 6:23AM_No. 9010 _. __ <br />