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RECEIVED <br />. I. <br />S A N a: -J 0 A Q U 1 NjU1N Environmental Health Department <br />- ---COUNT PUBLIC RECORDS RELEASE APPLICATION <br />• f�RICI�iAL �1 J AA <br />�Iml�l IT BY EMAIL �r_, <br />&' (D EHD LOG NUMBER:q34 <br />• <br />APPLICANT: Andrew saval <br />ADDRESS: 1533 B street <br />BUSINESS/AGENCY,. ERAS Environmental, Inc. <br />CITYISTATEIZIP: Hayward/California/94541 <br />PHONE (1): 510-247-9895x302 PHONE (2): FAX OR E-MAIL: andrew@eras.biz <br />Please allow 10 business days from date of application submittal for the records to be available, <br />Staff will contact y?gjp arrange an appointment date and time to review the requested records. <br />SIGNATURE OF APPLICANT DATE 6-6-16 <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 infoOsicehd.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 All to All <br />ENVIRONMENTAL <br />FILE ADDRESS <br />A DUO 11, I� <br />HEALTH DEPARTMENT <br />FILES <br />(Specific addresses <br />(P <br />only, address ranges will not <br />y. 9 <br />accepted) <br />be acce ted <br />EHD USE N Y <br />j <br />(� UP <br />Underground Tank (UST) <br />Street 4 <br />Street Name <br />City <br />[�X <br />Cleanup Site (LOP) <br />' <br />1111 <br />Navy Drive <br />Stockton <br />�"'��`^� <br />1 "' <br />PRo5143(c2--•IIRfDo�UMER <br />Q` Other Cleanup Site (Non -LOP) <br />. <br />2b 93- H m <br />Q Hazardous Waste <br />j C <br />' <br />❑ DAIRY <br />Q Tlored Permitted Facility <br />2 <br />1240 <br />Navy Drive <br />Stockton <br />Q Aboveground Tank <br />a <br />1443 <br />Navy D rive <br />Stockton <br />M ��W <br />❑ PWS <br />—gyp <br />Q UST (Monitoring / Re <br />❑K Hazardous Materials <br />1 r <br />IJ Spill / Release Response*K" <br />[gATER QUALITY <br />0 Solid Waste Facility / Vehicle <br />4 <br />F] Food Facility <br />_ <br />ITE MITIGATION <br />171 Pool / Spa <br />r] Dalry <br />6 <br />n Land Use Application Sites <br />❑ HOUSING <br />E] septic Pumper Truck / <br />s <br />Yard / Chemical Toilets <br />Ix Wastewater Treatment Plant <br />CUPA <br />E] Housing Abatement <br />7 <br />AST / HM I HW <br />Motel/Hotel <br />UPA <br />Chicken Ranch / Dog Kennel <br />F] Medical Waste Facility <br />8 <br />UST <br />Tattoo/Body Piercing <br />SOLID WASTE <br />Waste Tire <br />g <br />Q Complaint <br />❑ AccouN TING <br />E] Other (Please Specify): <br />1e <br />'-BOXED AREA - EHD USE ONLY"** <br />JIM <br />'In <br />1 ❑ Records provided by Staff -PPR Complete. Staff Name: -- l l'7 119— F'Yr►ndOri II/'c,^ /-' OVI)• TA. EHD48-06 I <br />V12fly -- cuVnPj0t_ to#G C00014LP03,� c 33321 , CpUU3(¢(�3,CUV(71tYloSCP, 00vvbq1733 urp fiun�►lti <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />0V RLe M65i3,53(o. CyjMP1(Ajnrs COa�S5�-,NjCUOo)gy9t-o, CODoILIlg2G�(�lv[�S, CvlXv3(v l (jlb(o <br />0 I prwid-ad ti VV FU PIZ02uXW3 fUr III WVyp,z�j, <br />