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SAN JOAQUIN IVvirennental Health Department <br /> Iia --COUNTY` PUBLIC RECORDS RELEASE APPLICATION <br /> JUL 2 , 2018 (Jr� � p <br /> G eoine5' g o .s 11 a.0140f,� <br /> ENVIRONMEiVYAL HEALTH -1 EHD LOG NUMBER: 89213 <br /> � ERMIDSERVICES <br /> PPLICANT: ANTHONY BIRD BUSINESS/AGENCY: TARGUS ENVIRONMENTAL <br /> ADDRESS: 1900 DIPLOMAT DR CITY/STATE/ZIP: DALLAS,TX 75234 <br /> PHONE (1): 972-247-7229 PHONE (2): 972-499-9242 FAX OR E-MAIL: ABIRDPTARGUSASSOCIATES.COM <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 VIA EMAIL BY STAFF. DOM M DATE JULY 25, 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(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. qw) <br /> �Future file reviews by the same applicant may require a$152 deposit prior to review. <br /> SEPTIC AND WELL PERMITS ARE AVAILABLE FOR REVIEW ONLINE AT: https:/Iwww.sjgov.org/department/envhealth/public-records <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL /j_C �I <br /> HEALTH DEPARTMENT FILE ADDRESS � <br /> Mr <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE O <br /> NL <br /> ®Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) CONSUMER <br /> ,^I <br /> ® Other Cleanup Site(Non-LOP) 1 700 D'ARCY PKWY LATHROP V V <br /> Hazardous Waste DM <br /> � DAIRY <br /> ®Tiered Permitted Facility 2 �-IW,aIVT, IKt vI <br /> ®Aboveground Tank \� \�JJ <br /> ®UST (Monitoring I Removal) ❑PWS <br /> ®Hazardous Materials 3 <br /> ®Spill/Release Response' <br /> ®WATER QUALITY <br /> ®Solid Waste Facility/Vehicle 4 <br /> ❑Food Facility <br /> ❑ Pool/Soa ®SITE MITIGATION <br /> ❑ Dairy 5 <br /> ❑Land Use Application Sites <br /> HOUSING <br /> ❑Septic Pumper Truck/ 6 <br /> Yard/Chemical Toilets <br /> ®wastewater Treatment Plant ®CUPA <br /> ❑Housing Abatement 7 AST/HM I HW <br /> ❑Motel/Hotel <br /> ❑Chicken Ranch/Dog Kennel ®CUPA <br /> 8 UST <br /> ®Medical Waste Facility <br /> ❑Tattoo/Body Piercing ®SOLID WASTE <br /> ®Waste Tire g <br /> ®complain <br /> ❑other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> '**BOXED AREA <br /> �-EHD USE ONLY*** <br /> fM, tf `P tV' <br /> A <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 />