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SAN 10 A Q U 1 N REGEIVEDvironmental Health Department <br /> C O U N T Y" PUBLIC RECORDS RELEASE APPLICATION <br /> JUL 2 2018 <br /> ENVIRONMENTAL HEALTH -1-11 EHD LOG NUMBER: 89213 <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: ABIRD TARGusASSOCIATEs.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@slcehd.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. q11:Z1 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 FILE ADDRESS A- ��� � <br /> HEALTH DEPARTMENT ( p y 9 p ) EHD USE O N L <br /> FILES S ecific addresses onlyaddress ran es will not be acce ted <br /> ®Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) E]CONSUMER <br /> 700 D'ARCY PKWY LATHROP <br /> ®Other Cleanup Site(Non-LOP) \J�I <br /> Hazardous Waste [ DAIRY <br /> ility <br /> ®Tiered Permitted Fac2 11W,WT, �'� <br /> v( / <br /> Aboveground Tank \/ v <br /> ®UST (Monitoring/Removal) PWS <br /> 3 <br /> ®Hazardous Materials <br /> ®Spill/Release Response <br /> ®WATER QUALITY <br /> ®Solid Waste Facility/Vehicle 4 <br /> ❑Food Facilitv <br /> ❑Pool I Spa <br /> ®SITE MITIGATION <br /> ❑Dauv 5 <br /> ❑Land Use Application Sites <br /> HOUSING <br /> ❑Septic Pumper Truck/ 8 <br /> Yard/Chemical Toilets <br /> ®Wastewater Treatment Plant 0 CUPA <br /> ❑Housing Abatement 7 AST/HM/HW <br /> ❑Motel/Hotel <br /> ❑Chicken Ranch/Dog Kennel ®CUPA <br /> 8 UST <br /> ®Medical Waste Facilitv <br /> ❑Tattoo/Body PieminG ®SOLID WASTE <br /> ®Waste Tire g <br /> ®cmplaint <br /> ❑Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <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 F 209 464-0138 1 www.sjcehd.col-n <br />