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1❑G'08/27/2013 TUE 9: 46 FAX 2094682999 Sic Public Works _ -_ 0001/001 <br /> I <br /> EHD LOG NUMBER <br /> SAN .IOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT ti <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> AUG 27eephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd ,3 <br /> ENVIRONMENTAL"EALTH L <br /> PEFRMITISFFIVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Mark Hopkins. BUSINESS/AGENCY:San Joaquin County Public Works <br /> ADDRESS: 1810 East Hazelton Avenue CITY/STATE/ZIP:Stockton,CA 95205 <br /> PHONE(1): (209)468-3085 PHONE(2): FACSIMILE:(209)468-2999 <br /> TENTA TIVE*APPO I NTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUES� $12 FEEEE/(Cs4SH O CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT //��, / ,�-- DATE <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city Unit 1 <br /> 1. 2512 Waterloo Rd. "j `S Stockton <br /> 2. 2484 - Waterloo Rd. Stockton 'Onit2 _) <br /> 3. 2489 �fv Waterloo Rd. Stockton <br /> 4. 2503 Waterloo Rd. Stockton C n p unit 3 ` 0 <br /> 5. 2701 Wilson Wy. 3<;L p Stockton a ► CRIB- �d 6 / <br /> 6. 2901 Wilson Wy. Stockton a l -D-'Unit 4 <br /> 7. 2802 Wilson Wy. Stockton <br /> 8. 2662 Wilson Wy. 3S Stockton Unit 5 <br /> 9. 3305 VW_Wilson Wy. Stockton <br /> 10. 3250 V,\ Wilson Wy. Stockton unit it 6 <br /> Specific Date Range of information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑❑ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q HOUSING ABATEMENT Q SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL DAIRY <br /> Q HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH Q WASTEWATER TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL Q PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA ❑© LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY COMPLAINT 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)464-013.8 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 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 fife reviews by the same applicant may require a$125 deposit prior to review. <br /> EHD USE ONLY <br /> EHD48-D6 <br /> 8/1/11 <br /> Received Time Aug. 27, 2013 9: 37AM No- 3929 <br />