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I <br /> I 03:54 a.m. 08-05-2015 1 /1 <br /> IFE^EWED E EHD LOG NUMBER <br /> I AN JOAQUl OU TY <br /> V NVI ON E TAL HEALTHDEPARTMENT <br /> AUG 0 5 201 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTALHEWN <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASEAPPLICATION <br /> APPLICANT: : BUSINESS/AGENCY: Condor atr-rA / h. <br /> ADDRESS: jEr, �e_ . S e . CITY/STATE/ZIP: 5r0 GG, 7 DA e,4q5244 <br /> PHONE(1): 24 `L t PHONE(2): (�9)401-81(6 FACSIMILE: a R Z3q-®S',3 <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-$130 FEE(CASH OR QHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT. DATE flIX/'l,§' <br /> Electronic Information:. E] List❑ Map-Description: 4 P!I/Z-/�5"-/8-®0 2- <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street# Street Name CRY <br /> 1. 1 2Gt!fi r vt . �Tar�tT4n I M I,11��. I <br /> 2. cGley 'i`2-W ®Unit 1 <br /> ® 3' ❑Unit 2 <br /> 4. 2H, <br /> s• Unita <br /> 7. Elknit 4 <br /> 8. ❑SITE MITIGATION <br /> 9. <br /> 10. ❑Unit 5 <br /> Specific Date Range of Information Requested: From / s to l ®t <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 9UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY [:1 DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> i7HAZAR000S WASTEIHAZARDOUS MATERIALS ❑MOT OTEL ❑PUMPER TRUCKIYARDICHEMI CAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑ LISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTODIBODY PIERCING COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(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.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 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 /> 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 /> r � at de;�-, re��:� �� I I� ���=1ko:, ' • ���� c©,��i ' r`, t��5'�3 - � � � �� �� �. <br /> v(o Ave <br /> ❑ Records provided by Staff-PComplete.staff Name: <br /> EHD"-06 711/15 <br /> Received Time Aub. 5. 2015 11 : 14AM No- 9262 <br />