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SMd OAQU RECEIVEDEnvironmental Health Department <br />COUNTY-- FEB 23 2018 PUBLIC RECORDS RELEASE APPLICATION <br />� (r3Grllt55 qr Ct�S 17 N'.• �= ENVIRONMEWALHEALTH 8`80118DFRAAIT/r`Cp14arg EHD LOG NUMBER: <br />APPLICANT: Natalie Vaughan BUSINESS/AGENCY: AEI Consultants <br />ADDRESS: 3880 S Bascom Ave. Suite 109 CITYISTATE/ZIP: San Jose, CA 95124 <br />PHONE (1): 408-559-7600 PHONE (2): FAX OR E-MAIL: ovauqhRnaRArnnqUdUantqrnrn <br />Please allow 10 business days from date of application submittal for the records to be available. <br />Staff will contact you to ar an a an appo ntment date and time to review the requested records. <br />SIGNATURE OF APPLICANT Name l/ar�a�iah DATE February23, 2018 <br />1. List up to ten addresses in the space below. Add r ss 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((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. 3// b <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br />Electronic Information: U List LJ Map — Description: <br />Specific Date Range of Information Requested: From all to <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />— '/�c:r� tv CQ` o� R � �' G . <br />tn(�I... '�1(Q a✓"\ (i- <br />FILE ADDRESS <br />FILES <br />0 Records provided by Staff -PPR Complete. staff Name: <br />(Specific addresses <br />only, address ran es will not <br />y 9 <br />be acre ted <br />p ) <br />EHD USE ONLY <br />® Underground Tank (UST) <br />Street # <br />Street Name <br />city <br />' <br />1789 <br />W Charter Way <br />Stockton <br />r Ll CONSUMER <br />N_ l//�'r <br />Cleanup Site (LOP) <br />Q Other Cleanup Site (Non -LOP) <br />© Hazardous Waste <br />(LUST case #9053) <br />L• , HP'1,1 t <br />N-F4F u DmrR <br />Q Tiered Permitted Facility <br />2 <br />I„5j e{,t�•PkLmp(,r <br />.MdOP f,Y�% <br />[] Aboveground Tank <br />(IVI <br />a <br />N Lf rV ILLSWgk,(�rEl P,ws <br />I" 4,ca" tatonlws <br />® UST (Monitoring / Removal) <br />© Hazardous Materials <br />® Spill / Release Response <br />Solid Waste Facility / Vehicle <br />QUALITY <br />/ <br />4 <br />coVL //r-UA�TEE1R <br />Food Facility <br />` „ <br />8 <br />-610 MmcnnON <br />❑ Pool / Spa <br />❑ Dairy <br />Land Use Application Sites <br />f/t^n <br />6 <br />IousiNc <br />® Septic Pumper Truck / <br />Yard / Chemical Toilets <br />© Wastewater Treatment Plant <br />CUPA <br />❑ Housing Abatement <br />T <br />AST /HM IHW <br />® Motel/Hotel <br />CUPA <br />I] Chicken Ranch / Dog Kennel <br />e] Medical Waste Facility <br />a <br />UST <br />TattoolBody Piercing <br />Sauo WnsTe <br />® Waste Tire <br />a <br />® Complaint <br />Q Other (Please Specify): <br />0 Ao uan <br />10 <br />***BOXED AREA - EHD USE ONLY*** <br />•Z'� � <br />— '/�c:r� tv CQ` o� R � �' G . <br />tn(�I... '�1(Q a✓"\ (i- <br />0 Records provided by Staff -PPR Complete. staff Name: <br />EHD 48-ua <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />