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To: 12094640138 From: 19164800603 Date: 03/28/16 Time: 8:15 AM Page: 01/01 <br /> i■ <br /> ■ <br /> ■: I / V E �� @�� t COUNTY EHD LOG NUMBER <br /> • WIAR 2 8 2016 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTAL HEAL ephono: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PERit4ITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Erin Basel EBUSINESSIAGENCY: PNERCON <br /> ADDRESS- 1451 River Park Drive Suite 100 CITYISTATE0P: Sacramento, CA 95815 <br /> PHONE(1): 916-480-9565 PHONE(2): email: -basal@cnercon. CSIM1fi_E: 916-4110-0603 <br /> Please allows 10 business days from date of application submittal €or 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-$130 EE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE:OF APPLIC ANT f� DATE <br /> 3/25/2016 <br /> Electronic lnfomaation: ❑ List ❑ Map—Description: <br /> FILE ADDRESS <br /> Street# street Name City EHD USE ONLY <br /> ..._.--_ .............. .____ ........._._..._. ____. ..... <br /> .......... <br /> t, 4 East Poplar street Stockton <br /> 2. 847 North H1 Dorado Street Stockton p Until <br /> 652 Main Street Manteca � <br /> 3- I�'Unn z <br /> 4. (o1yy15'f FP { S� ki <br /> El Unit 2H x'05 <br /> • 6, 10 [ tNt3 <br /> 7. I t 2 v <br /> ❑Unit 4 <br /> a• _ __.._____ SITE MITIGATION <br /> 9. <br /> 10• Unit S <br /> Specific Data Range of Information Requested: From Fell to All <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑x UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q MEDICAL WASTE FACILITY (]'SOLID WASTE FAG&ITYIVEHIGLE <br /> Q OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT Q WASTE TIRE - <br /> Q UNDERGROUND TANK(MONrrORiNGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> x❑ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL [x]WASTEWATER TREATMENT PLANT <br /> O. HAZARDOUS WASTBIHAZARDOUS MATERIALS 0MOTELIHOTEL ❑PUMPER TRUCKNARDICHEMICALTOILETS <br /> U TIERED PERMITTED FACILITY ❑POOIJSPA ❑LAND USE APPLICATION SI TES <br /> ❑TATTOWBODY PIERCING Q COMPLAINTIRF_SPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:OOPM (EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selacted. Fax to(2051264.01311 or mail to the address Indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pet will be processed the next bUsinesS d2y- <br /> 2- For assistance in identifying the nature and content of END records,please contact END at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(1 D) <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 /> A. Any file not returned In the same condition as released will be reorganized by E)tt)stubat Via expense of the applicant. <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. -'BOXED AREA-EKE) USE ONLY'"* <br /> • <br /> I] Records provided by Staff-PPR Gompiete. staff Name: <br /> EHD4046 VMS <br /> Received Time Mar. 28, 2016 8: 14AM No. 0624 <br />