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RECEIVED <br /> SAN J O A Q U I �,R lI � � Environmental Health Department <br /> C Ci U i\,'I`r' PUBLIC RECORDS RELEASE litEWRO <br /> mm' "A AILUf!' I EHD LOG NUMBER: v (E <br /> APPLICANT: Corinne Kennah-Cohn BUSINESS/AGENCY:Partner Engineering&Science Inc. <br /> ADDRESS: 1544 Eureka Road,Ste 180 CITY/STATE/ZIP:Roseville,CA 95661 <br /> PHONE(1): 714-348-2743 PHONE(2): FAX OR E-MAIL: ckennahcohn@partneresi.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact o to arrange appointm t date and time to review the requested records. <br /> SIGNATURE OF APPLICANT DATE 5/14/2018 <br /> 1. List up to ten addresses in the s-15ace 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(a)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. <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 accepted) EHD USE ONLY <br /> FILES (Specific addresses only,address ranges will not be acre ted <br /> ❑X Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) t4Vv! N M a I— ❑CONSUMER <br /> 2020 E. Grant Line Road Tracy t7 n <br /> • ❑X Other Cleanup Site(Non-LO 0 a"04 L <br /> Q Hazardous Waste '1 DAIRY <br /> Q Tiered Permitted Facility 2 _ <br /> Q Aboveground Tank IAV kI Kkkw <br /> RX UST (Monitoring/Removal) ❑PWS <br /> 3 <br /> R Hazardous Materials <br /> 0 Spill/Release Response <br /> WATER QUALITY <br /> Rx Solid Waste Facility/Vehicle q <br /> Food Facility <br /> Pool/Spa ITE MITIGATION <br /> Dairy 5 <br /> Land Use Application Sites <br /> HOUSING <br /> Septic Pumper Truck/ 0 <br /> Yard/Chemical Toilets <br /> Wastewater Treatment Plant CUPA <br /> Housing Abatement 7 AST/HM/HW <br /> ❑Motel/Hotel <br /> F]Chicken Ranch/Dog Kennel CUPA <br /> 8 UST <br /> Medical Waste Facility <br /> ❑Tattoo/Body Piercing NFS60LID WASTE <br /> R Waste Tire 9 <br /> Q Complaint <br /> Other(Please Specify): ❑AccouN ING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> p <br /> Lj"'t�– a+ <br /> o I Ro V 1 <br /> ❑ Records provided 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 />