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SANJOAQUIN RECEIVE . <br /> fronmental Health Department <br /> --COUNTY--'- ' FEB 072098 ( PUBLIC RECORDS RELEASE APPLICATION <br /> • ENVIRONMENTAL HEALj' �7-137 <br /> PERMIT/SF:Rtnrce EHD LOG NUMBER: <br /> APPLICANT: Vanessa Radsick BUSINESS/AGENCY: Advanced Environmental Concepts <br /> ADDRESS: 220 E. Truxtun Avenue CITYISTATE/ZIP:Bakersfield, CA 93309 <br /> PHONE(1): (661)395-1646 PHONE(2): (661395-1616 (FaX) FAX OR E-MAIL: vanessa(a)advanced&IZam <br /> c <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will con=you to range an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT an4nA�n. ifl� DATE 2/7/18 <br /> 1. List un 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. <br /> Future file reviews by the same applicant may require a$152 deposit prior to review. Ali; <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 O1/O1/1950 to 02/07/2018 <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( p y 9 p ) EHD USE ONLY <br /> FILES S ecific addresses onlyaddress ran es will not be acre ted <br /> ®underground Tank(UST) Street# Street Name city <br /> Cleanup Site(LOP) ❑CONSUMER <br /> + 12434 S. Cal Pack Road tockton �L1}I pyy p r /� <br /> • ®Other Cleanup Site(Non-LO — 5 t-I+`` NP/ I v N,1 /1-5'1 <br /> ® <br /> Hazardous Waste "11 pAinv <br /> r-1 Tiered Permitted Facility z CERS ID#10185801 <br /> M Aboveground Tank <br /> ®UST (Monitoring f Removal) <br /> /6 PWS <br /> ®Hazardous Materials 8 - <br /> ®Spill/Release Response <br /> ATER QVALIN <br /> Solid Waste Facility/Vehicle q <br /> ❑Food Facility 00 r <br /> ❑Pool/SpaMwnnoN <br /> /� S-rt(y)E--n <br /> Dairy 6 t C\ I r J <br /> ❑Land Use Application Sites �,,,( C <br /> � <br /> ❑Septic Pumper Truck/ .fit �� 11 Housiuc <br /> 6 �" I <br /> Yard/Chemical Toilets /f-'t <br /> ❑Wastewater Treatment Plant C-�p CUPA <br /> ❑Housing Abatement T I� ` v V✓ I� AST/HM/HW <br /> ❑Motel/Hotel <br /> ❑Chicken Ranch/Dog Kennel CUPA <br /> ❑Medical Waste Facilely 8 UST <br /> Taftoo/Body Piercing <br /> SouO WASTE <br /> ❑Waste Tire g <br /> ®Complaint <br /> Other(Please Specify): ❑Accounnac <br /> 10 <br /> py ***BOXED/AREA-EHD USE ONLY"* r - // /n��� /v. <br /> 2'7-1 - ,H .9Npa, w2 Ge` r� OL u t,E G.QV2 �l .Imo' (" <br /> Qlfcw `ee C 2—IH—f <br /> ❑ Records provided by Staff-PPR Complete. Starr 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 />