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DATE RECEIVED <br />RECEIVED <br />APR 2 4 2014 <br />CC) EHD LOG NUMBE <br />06‘ <br />,R,11 <br />g;‘IJOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org hd <br />PUBLIC RECORDS RELEASE APPLICATION <br />ENVIRL,NMLNTAL. I izALTH <br />pwiTemignizanne Johnson <br />ADDRESS: 1800 Pioneer Creek Center, P.O. Box 249 <br />Wenck Associates, Inc <br />BUSINESS/AGENCY: <br />CITY/STATE/ZIP: Maple Plain, MN 55359 <br />PHONE (1): 612418-1547 PHONE (2): FACSIMILE: <br />TENTATI VE* APPOINTMENT DATE: In town only one day: April 29 - Next Tuesday Time: <br />(Please allow 10 business days from date of application submittal - *Tentative only - must be confirmed) <br />[T CHECK BOX TO EXPEDITE REQUEST - $125 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT <br /> Ei— DATEApril 24, 2014 <br />I Electronic Information:)Tl List x Map — Description: <br />. <br />I <br />FILE ADDRESS EHD USE ONLY <br />1E1 Unit 'I <br />Street # Street Name City <br />1 . 1400 Waterloo Rd S1Z --1 <br />k6 <br />101) Stockton <br />,... El Unit 2 <br /> 4648 Waterloo Rd ' iy, LT,Stockton <br /> Please see attached ' - three leaking underground storage tank file <br />I am requesting to see all of the file information <br />sites. I am also requesting any other UST/AST/Hazardous <br />Cleanup files for these sites. I will only be in town <br />29. Thank you very much, I appreciate if you could <br />have these files available to me! -Suzanne 612-418-1547 <br />sites for 2--eA t & IL') (--- -1 <br />tOt cied ttbei) <br />h <br />it 3 <br />the above addresses. <br />these release <br />Waste/Release <br />Tuesday, April <br />for <br /> next <br />expedite <br />C tiA A.43 <br />----./-*--A— El Unit 4 <br /> this in order to <br /> <br />El Unit 5 <br /> <br /> <br />El Unit 6 <br /> <br />Specific Date Range of Information Requested: From 1900s to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />VI UNDERGROUND TANK (UST) CLEANUP SITE (LOP) El MEDICAL WASTE FACILITY <br />[J OTHER CLEANUP SITE (NON-LOP) El HOUSING ABATEMENT Fi UNDERGROUND TANK (MONITORING/REMOVAL) <br /> El FOOD FACILITY <br />[1 ABOVEGROUND TANK <br /> El CHICKEN RANCH/ DOG KENNEL <br />[X] HAZARDOUS WASTE/HAZARDOUS MATERIALS <br /> El MOTEL/HOTEL <br />El TIERED PERMITTED FACILITY <br /> El poouspA <br />El TATTOO/BODY PIERCING <br /> <br />El COMPLAINT1RESPONSE RECORDS <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Ann-5:00Pm (EXCLUDING HOLIDAYS) <br />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 - for additional assistance with file addresses, contact the EHD. Applications received after <br />3:00 pm will be processed the next business day. <br />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 />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 />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 $125 deposit prior to review. *BOXED AREA - EHD USE ONLY <br />present <br />0 SOLID WASTE FACILITYNEHICLE <br />0 WASTE TIRE <br />0 DAIRY <br />0 WASTEWATER TREATMENT PLANT <br />0 PUMPER TRUCK/YARD/CHEMICAL TOILETS <br />0 LAND USE APPLICATION SITES <br />El OTHER (PLEASE SPECIFY) <br />0 Records provided by Staff-PPR Complete. Staff Name: <br />END 48-06 914/12