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RECEIVE[ <br />SAW-JOAQU1NUN Z' 201' Environmental Health Department <br />— -COUNTY--- PUBLIC RECORDS RELEASE APPLICATION <br />'�rt�-. <br />• � : ; ' I � ElVVIRQNMESKdAL <br />PEPWIT/.riaY EMAIL O <br />EHD LOG NUMBER: VVV ��c/// <br />APPLICANT. Tanya Schehirer BUSINESS/AGENCY: Petralogix Engineering, Inc. <br />ADDRESS: 26675 Bruella Road CITY/STATE2IP: Galt, CA 95632 <br />PHONE (1): 209.770.0731 PHONE (2): FAX OR E-MAIL: tscheftner@petral <br />Please allow 10 business days from date of application submittal for the records to be available. ogix.com <br />Staff will contact r�roY arrange an appointment date and�time to review the requested records. <br />SIGNATURE OF APPLICANT ' r DATE Jane 2l, 2018 <br />1. List uo to ten addresses In line apace oelow. Address ranges WILL NOT be accepted. Select the types) 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(d)sicehd cam 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. r <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br />Electronic Information: ❑ List rl Mao - Descrintinn <br />• <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILE ADDRESS <br />GD Q (d' <br />FILES <br />(Specific <br />addresses only, address ranges will <br />not be accepted) <br />E H D U S N LY <br />Z Underground Tank (UST) <br />Street S <br />Street Name <br />city <br />Cleanup site (LOP) <br />Ober Cleanup she (Non -LOP) <br />t <br />3 <br />S Pacific Avenue <br />Lodi <br />IHMI ,. „ <br />[ ConsuusR <br />Hazardous Waste <br />P <br />101 <br />S Ham m Lane <br />Lodi <br />�'� DAIRY <br />~ { ❑ <br />Tiered Permitted Facili ty <br />Aboveground Tank <br />UST (Monitoring I Removal) <br />© Hazardous Materials <br />3 <br />1320 <br />W Elm Street <br />Lodi <br />0 PWS <br />© Spill/Release Response <br />4 <br />1320 <br />W Lockeford Street <br />Lodi <br />fti (�t <br />ATS ur <br />Solid Waste Facility/Vehicle <br />Ej Food Facility <br />Pool / Spa <br />❑Dairy <br />S <br />1341 <br />W Lodi Avenue <br />Lodi <br />Mrtq..iMv <br />E] Land Use Applicatlon Sites <br />a <br />1540 <br />W Lodi Avenue <br />Lodi <br />�`` <br />0Hoa, Rc <br />❑ Septic Pumper Truck l <br />Yard / Chemical Toilets <br />❑ Wastewater Treatment Plant <br />Housing Abatement <br />7 <br />301 <br />S Ham Lane <br />Lodi <br />DPA <br />ASTIHM/ITN <br />n MoteUHotel <br />Chicken Ranch / Dog Kennel <br />Medical Waste FaaTty <br />a <br />1800 <br />W Elm Street <br />Lodi'uh <br />a <br />tr'rte, <br />SPA <br />DST <br />Piercing <br />W.M. <br />ry <br />S Ia3 _ �tti— ✓ <br />0 Sam WAele <br />LComplaint <br />eW� <br />P35-78— KVV�-R? ✓ <br />Specify): <br />,s <br />• <br />�it�7ily—Itch-tQf <br />❑Acwwnnc <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-34201 F 209 464-0138 1 www.sjcehd.com <br />