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'I 07/12/2010 11.:37 9168610430 STANTEC PAGE 02/02 <br /> r r <br /> DATE RECEIVU Y"'L�� <br /> © EHO LOG NUMBER� SAN �IOAQEJIN COUNTYENVIRONMENTAL HEALTH DEPARTMENT <br /> JUL 1 2 e]]U 600 East Main Street, Stockton, CA 95202-3029 <br /> e ephone: (209) 468-3420 Fax: (209) 464-0138 Web: +rrvvw,sjgov.org/ehd <br /> E <br /> NVIRUNNLENT HEALTH 4 40 <br /> RVIr.FTUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Danielle Marbling BUSINESSIAGENCY: Stentec Consulting Ca oration <br /> ADDRESS: 3017 Kil ore Road, Suite 100 citylsotelzip Rancho Cordova, CA 95670 <br /> PHONE(1): (916) 384-0706 PHONE(z); (916)281.4942918 661-0430 <br /> FACSIM]LE: <br /> TENTATIVE*APPOINTMENT DATE: July 20, 2010 Tyne; 10:00 am <br /> (Piaase allow 10 buslnsss days from date of application submittal-"Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEOIfE VEST-$1U KEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT RATE <br /> Electronic Information: 0 List 0 Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street!! Streot Name city — - - - --- - <br /> .- ❑ Unit 1 <br /> 1. 7847 pacific Avenue Stockton �2_"I <br /> 2. ❑ Unit 2 <br /> 3. <br /> 4. I Unit 3 <br /> ---------- Unit 4 <br /> 7. <br /> - — ._ _. ... - .._- ❑ unit <br /> 8. <br /> — .__, . . ...._ . .,..__ — ❑ Unit S <br /> Specific pate Range of Information Requested:From 19$5 to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Rl UNDERGROUND TANK(UST)CLEANUP SITE{LOP) P1 HOUSINO ABATEMENT C SOLID WASTE FACILlTYIVEHICLE <br /> W OTHER CLEANUP SITE{NDN-LOP) CI FOoo FRCIUYY O WASTE TI Re <br /> m UNDERGROUND TANK(MONMORINoIREMOVAL) 0 DDG KENNEL Q DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ® TIERED PERMITTED FACILITY L1 MOTELIHOTEL Q PUMPER TRUCKIYARDICHEM TOILETS <br /> 13 TATTOOIgODY PIERCING ❑POOLISPA IO LAND USE APPLICATION SITES <br /> C MEDICAL WASTE FACILITY 0 OTHER{PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REv tw - MONDAY-FlUDAY 6:00 AM•b:OOPM - EXCLUDING HOLIDAYS. <br /> 4. List up to ten sddresses 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)4840138 or mail to the address_.indtcated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHO 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 appficant may require a $109 deposit prior to revitw. <br /> EHD USE ONLY <br /> F-MD 40.DB 810al00 — PUBLIC RECORDS RELEASE APP FORM <br />