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RECEIVED. <br /> SA N.,J OA Q U I Nnvironmental Health Department <br /> COUNTY— .IAN 2 3 20ii( awdPUBLIC RECORDS RELEASE APPLICATION <br /> '-Z3 87865 <br /> u9 ;FOR. Greatness grows here <br /> — ENYIRONtdENTALIi!"A1.7'N <br /> ]PIE fT/SEMCES EHD LOG NUMBER: <br /> 87865 <br /> ERIK BROWN BUSINESS/AGENCY: AEI CONSULTANTS <br /> ADDRESS: 520 SHELLY DR CITY/STATE/ZIP: PLEASANT HILL,CA 94523 <br /> PHONE(1): 925-262-8101 PHONE (2): 925-3055337 FAX OR E-MAIL: 888-828-2635 <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 /> SIGNATURE OF APPLICANT PROCESSED BY STAFF. DOM M DATE JANUARY 23, 2018 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138, mail to the <br /> address indicated below, or email to info(o)sicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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$152 deposit prior to review. 3 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( p y g p ) EHD USE ONLY <br /> FILES (Specific addresses only,address ran es will not be ecce ted <br /> ❑Underground Tank(UST) 6 Street# Street Name City <br /> Cleanup Site(LOP) h ❑CansumEa <br /> 't'6 1 18662 HWY88 LOCKEFORD <br /> Other Cleanup Site(Non-LOP) 'Y� <br /> Hazardous Waste lie <br /> ^ //J �r ' /q t DAIRY®Tiered Permitted r-///{/p('Wt///(j�•j r ❑ <br /> ®Aboveground Tank PWS <br /> //�� r� ❑ <br /> ®UST (Monitoring/Removal) ,1,/ � � l 1 <br /> ®Hazardous Materials <br /> ®Spill/Release Response <br /> }t�t ,(, 4 l^�� ref <br /> 1 O WAiEF t]untRv <br /> Solid Waste Facility/Vehicle 4 ` ` j "( r <br /> Food Facility J <br /> r7 Pool/Spa ❑SITE MITIGATION <br /> F] Dairy a <br /> r7Land Use Application Sites Ij <br /> sinc <br /> HGu <br /> ❑Septic Pumper Truck/ 0 <br /> Yard/Chemical Toilets <br /> ❑Wastewater Treatment Plant, 0 COPA <br /> Housing Abatement 7 AST/HM/HW <br /> r7Motel/Hotel <br /> Chicken Ranch/Dog Kennel N CUPA <br /> a UST <br /> r7Medical Waste Facility <br /> Tattoo/Body Piercing [j SOLID WASTE <br /> Waste Tire g <br /> Complaint <br /> F­] Other(Please Specify): ❑A. TING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> 1/23/2018 <br /> —CALLED APPLICANT. INFORMED THEM FILES ARE APPROVED FOR RELEASE,AND WE HAVE STARTED THE <br /> PR,RA FOR THEM. DOM M <br /> 0 Records provideA by Staff-PPR Complete. Staff Name: EHD 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www-sjcehd.com <br />