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• <br />• <br />RECEIVED <br />SAN J OA0 U I N3uL 0 3 2018 Environmental Health Department <br />UNITY PUBLIC RECORDS RELEASE APPLICATION <br />1_g ENVIRONMENTAL l it �O <br />PERMIT/SERV! M BY EMAIL <br />EHD LOG NUMBER: <br />APPLICANT: each Solow BUSINESSIAGENCY: Condor Earth Technologies, Inc. <br />ADDRESS: 188 Frank West Circle, Suite I CITYISTATEIZIP: Stockton CA 95205 <br />PHONE (1): (209)234-0518 PHONE (2):(209)601-0002 FAX OR E-MAIL: zsolow@condoreanh.00m <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 api>ntme at in,d time to review the requested records. <br />SIGNATURE OF APPLICANT s!- �•/?J e DATE 7,3118 <br />1. List up to ten addresses in the space belgt . AddrestYfanges 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(dsicehd.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: ( 1 List LI Map — Description: 1 <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL <br />FILE ADDRESS <br />-d-Cp- 12 I� <br />HEALTH DEPARTMENT <br />FILES <br />(Specific addresses <br />only, address ranges will not <br />be accepted) <br />EHD USE ON L <br />❑x underground Tank (UST) <br />Street # <br />Street Name <br />City <br />cleanup Site (LOP) <br />1 <br />1604 <br />Tillie Lewis Drive <br />Stockton, CA 95206 <br />I-t'n NAW ❑Coxsuusa <br />l 2 <br />)]X Other Geanup Site (Non -LOP) <br />�X Hazardous Waste <br />"�) <br />U W. <br />❑ Tiered Permitted Facility <br />a <br />2500 <br />Daniels Street;APN# 241-310-530-000 <br />Manteca, CA 95 <br />.C•G <br />r <br />gAboveground Tank <br />` <br />PWS <br />❑x UST (Monitoring/ Removal) <br />Hazardous Materials <br />3 <br />I]X Spin f Release Response <br />12' area Ouautt <br />Solid Waste Facility / Vehicle <br />4 <br />Food Facility <br />❑ Sire Mmaenoa <br />Pool / spa <br />Daily <br />5 <br />❑ Land Use Application Sites <br />[3 HouwHc <br />Septic Pumper Truck / <br />6 <br />Yard / Chemical Toilets <br />❑ Wastewater Treatment Plant <br />[HCtIPA <br />Housing Abatement <br />T <br />AST/HMfHW <br />MotelMotel <br />_ <br />CUPA <br />Chicken Ranch / Dog Kennel <br />Medical Waste Facility <br />a <br />UST <br />Tatincowy Piercing <br />[I sotto wm9 <br />Waste Tire <br />g <br />Q Complaint <br />_-..--- <br />accowtwo <br />I� Other (Please Specify): <br />Well Permits <br />10 <br />—BOXED AREA - EHD USE ONLY" <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />