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07/12/2010 11:37 9168610490 STANTEC PAGE 02/02 <br /> DATc RECEIVE � � EHD LOG NUMBER <br /> �D <br /> � L1SAN .10AQUIN COUNTY E� V <br /> Ei'?—Zs <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUL 1 2 600 Fast Main Street, Stockton, CA 9`202-3029 <br /> elephone: (209) 468-3420 Fax: (209) 464-0138 W?b: www.sjgov.org/ehd 4 40 <br /> ENVIRUNNIEN I HEALTH <br /> QERQ,AIT1SFLjVj .F_TUBLIC RECORDS RELEASE AFRLICATION <br /> APPLICANT: Danielle Mantling BUSINES,!AGENCY: Stantec Consulting Corporation <br /> ADDRESS: 3017 Kilgore Road, Suite 100 City/State/zIp Rancho Cordova, CA 95670 <br /> PHONE(1): (916) 384-0706 PHONE(2): (916) 281-4942 FACSIMILE: (916) 861-0430 <br /> TENTATIVE`APPOINTMENT DATE: July 20, 2010 Time: 10:00 am <br /> (Please allow 10 business days from date of appilcatlon submittal-`tentative only-must be confirmed) <br /> 0 CHECK BOX To EXPEDITE UEST-$10 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 7 <br /> Electronic information: 0 List[] Map—Description:_611, <br /> FILE ADDRESS EHD USE ONLY <br /> Street_A' Street Name city <br /> 1. 7647 pacific Avenue Stockton p Unit 1 <br /> 2. El Unit 2 <br /> 3. <br /> 4. Vnit3 <br /> -- •— ------- - --- Unit a <br /> 6. <br /> 7. <br /> El Units <br /> 8. <br /> _ _. . .....__-- —. ❑ Unit 6 <br /> 10, <br /> Specific Date Range of Information Requested: From 1985 _ to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) r-1 HOUSING ABATEMENT C SOLID WASTE FACILITYIVEHICLE <br /> ® OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY G WASTE TIRE <br /> UNDERGROUND TANK(MONITORINOIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Z3 TIERED PERMITTED FACILITY M MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEM TOILETS <br /> E3 TATTOO(BODY PIERCING ❑ POOLISPA O LAND USE APPLICATION SITES <br /> 71 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR Rryryy - MONDAY-FRIDAY 8:00 AM-6:00PM - 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 Clays 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 some 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 $106 deposit prior to review. <br /> EHD USE ONLY <br /> END 4E-D8 8/04108 - — PURI IC RFC(lPrS,RFI FA.SF APP FnIFM <br />