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RECEIVEDj,o ti <br /> SAN JOAQUIN OCA l5 2011 Enver BnlmeE al Health Department <br /> COUNTY—• LICATION <br /> (,reotness 9royvs her-0 WRONMFW�'ALNEP17H ELEASE 167413 <br /> PERMiTISERMCES EHD LOG NUMBER: <br /> APPLICANT: AleX DeWitt BUSINESS/AGENCY: Condor Earth <br /> ADDRESS: 188 Frank West Cir. Ste I CITY/STATE/ZIP: Stockton r..A 9591716 <br /> PHONE(1): 209-938-1041 PHONE(2): 209-601-4631 FAX OR E-MAIL: rearm h rom <br /> Please allow 10 business days from date of application submittal for the records to beavail' <br /> Staff will Contac o ar a an,appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT��� DATE lii o r 25,2017 <br /> 1. List up to ten addresses the pace below. Address ranges WILL NOT be accepted. Select the types)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. <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 1/1/2013 to 10/25/2017 <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT y g accepted) EHD USE ONLY <br /> FILES (Specific addresses only, address ranges will not be acce ted <br /> ❑Underground Tank(UST) Street# Street Name city <br /> Cleanup Site(LOP) ❑CONSUMER <br /> ®Other Cleanup Site(Non-LOP) ' 11530 W. Eight Mile Road Stockton kYYfU31P/ <br /> ®Hazardous Waste ❑Dwm <br /> .�Tiered Permitted Facility 2 <br /> ®Aboveground Tank 11100 W. Ei�ht Mile Road Stockton ' <br /> ❑UST (Monitoring/Removal) WS <br /> IR Hazardous Materials J10750 W. Ei htMile Road Stockton <br /> ®Spill/Release Response nTeR QUALITY <br /> �. Solid Waste Facility I Vehicle 4 <br /> ❑Food Facility 10350 n <br /> ❑Pool/Spa y rta MITIGATION ^n <br /> - <br /> Dairy a r ` \ t ' vrlW II (-1`J11 <br /> ❑ 11478 W Eight Mile Road Stockton <br /> ®Lantl Use Application Sites <br /> Housnc <br /> ❑Septic Pumper Truck/ 6 <br /> Yard I Chemical Toilets 11520 W. Eight Mile Road Stockton <br /> ®Wastewater Treatment Plant CUPA <br /> 1XjHousing Abatement 7 ,vC C AST/HM)HW <br /> ❑Motel/Hotel 11540 W. Eight Mile Road Stockton <br /> ❑Chicken Ranch/Dog Kennel � ❑CUPA <br /> ❑Medical Waste Facility a 11500 W. Eight Mile Road Stockton 1'�1 ST <br /> ❑Tattoo/Body Piercing EgSOLID WASTE <br /> ❑Waste Tire 9 <br /> 1XI Complaint <br /> Other(Please Specify): p WS ❑AOCOUMING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY... <br /> • i0-'1r71 - � -t a �o ^{-tlr� fCaa: 9� <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: EHD411 <br /> CJ <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 209 464-0138 1 www.sjcehd.com <br />