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Y 12/02/2014 14:52 5624321' KLEINFELDER PAGE 01/01 <br /> �' 0' <br /> DAAMTEI V ED SAN JOAQUIN COUNTY EHOLOG NUMBER <br /> �"� ENVIRONMENTAL HEALTH DEPARTMENT <br /> DEC 0 2 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 A <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgQv.org/ehd <br /> ENVIP.ONMENTAL HEALTH' <br /> Nr_gAArr/SFR1nCFA PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: MelgaretCarroll BUSINESSIAGENCY: KleinfelderR <br /> ADDRESS: 620 West 16th Street, #F CITYISTATEIZIP: Long Beach, CA 90815 <br /> PHONE(1): 562-432A696 PHONE (2): FACSIMILE:562-432-1796 <br /> Please allow 19 business days from date of applicatlon submittal forthe 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-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED INS BUSINESS DAYS <br /> SIGNATURE OF APPLICANT_jCn DATE December 2,2014 <br /> I,Elactronlo Information: O List❑ Map—'Description: <br /> FILE ADDRESS EHD USE;ONLY <br /> Street# Straet Name City Unit 1 <br /> 1. 7544 W. Eight Mile Road Stockton <br /> 2. 6210 Westlake Drive Stockton ❑Unit 2 <br /> 3. 6712 Cherry Part Drive Stockton ,� 3 <br /> 4. 10599 Regatta Lane Stocktonp units <br /> S. 8090 Rio Blanco Road .Stockton <br /> 6. 8095 IRfoSlancoRoad Stockton L/V/y Umt4 <br /> 7. <br /> .8. <br /> ❑Units <br /> 9. <br /> 10. <br /> ❑Unit 6 <br /> Specific Data Range of Information Requestad: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑Souo WASTE FACILrrYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT El WASTE TIRE <br /> JUNDERGROUND TANK(MONrrORMGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK p CHICKEN RANCH/Doe KENNEL �rqr,WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WA3TEINAZARoous MATERIALS ❑MOTELIHOTEL uPUMPER TRuCKrfARDICHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING WCOMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:OOAM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List un 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 1 QS)454-0138 or mall to the address indicated 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 files exist. An kppolntment 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 /> 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 /> 0 Records provided by Staff-PPR Complete. Staff Nana: <br /> Received Time Dec. 2. 2014 2: 30PM No. 1642 <br />