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7- ")-1. SANAAQUINRECEIVEEnvironmental Health Department <br /> l,•tL4 • `, —COUNTY— APR 09 2013 PUBLIC RECORDS RELEASE APPLICATION <br /> 3,v Grectness arnws here 1A`U."dl, ��� <br /> • " F"` �ErMRONME 9�r�1�4M MAlL -�� <br /> PEIUAIT/ EHD LOG NUMBER: <br /> 10 ( <br /> APPLICANT: Carrie Locke BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 1819 Jackson Street,Apt.4 CITY/STATE/ZIP:San Francisco,CA 94109 <br /> PHONE(1): 415-505-8090 PHONE(2): FAX OR E-MAIL: came.mcke@gmail.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 Carrie E.Locke DATE April 9.2018 <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 infoCdsicehd.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.L/j�� <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 Eariiest to Latest <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( p y 9 p ) EHD USE ONLY <br /> FILES (Specific addresses only,address ran es will not be acce ted <br /> Q Underground Tank(UST) Street# Street Name city <br /> Cleanup Site(LOP) 01C_r__ him ❑consumzv <br /> • Q Other Cleanup Site(Non-LOP) <br /> 8055 S. Ash Street French Camp ~ <br /> Q Hazardous Waste ❑DAiRy <br /> Q Tiered Permitted Facility 2 147 E. French Camp Road French Camp <br /> Q Aboveground Tank <br /> PWS <br /> 0 UST (Monitoring/Removal) / <br /> S <br /> 0 Hazardous Materials <br /> l� <br /> Q Spill/Release Response l �1 /� ArsR cunury <br /> Q Solid Waste Facility/Vehicle 4 <br /> Food Facility <br /> Srta Mmcnnon <br /> Pool/Spa / <br /> Dairy 5 l/—�]II� lHousin I] Land Use Application Sites❑K Septic Pumper TruckYard/Chemical Toilets ] <br /> O Wastewater Treatment Plant _1 /'��.,,, .� COPA <br /> ND C1 <br /> O Housing Abatement T '—NST/HMIHW <br /> F-1 mote[/Hotel 1 CUPA <br /> Chicken Ranch/Dog Kennel UST <br /> B <br /> 0 Medical Waste Facility <br /> Tattoo/Body Piercing 114 Sou.W.I. <br /> x Waste Tire e <br /> Q Complaint <br /> Other(Please Specify): O Acooatmec <br /> 10 <br /> '-BOXED AREA-EHD USE ONLY*** <br /> • -�'I�- r1Wl �V � � M a t✓ r <br /> ❑ Records provided by Staff-PPR Complete. Starr Name: EH04MS <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />