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RECEIVED <br /> SAN J OAQ U IN i ,. Environmental Health Department <br /> .COUNTY '�- � PUBLIC RECORDS RELEASE APPLICATION <br /> c . + '' EEI11'NiR0NMENTAL!-r.WH <br /> . PEWIT/SE-M ES --lt)A/A EHD LOG NUMBER: 91172. <br /> APPLICANT: Natalie Vaughan BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 515 Saratoga Ave, Unit 5 CITY/STATE/ZIP: Santa Clara. CA 95050 <br /> PHONE(1): 408-559-7600 PHONE(2): FAX OR E-MAIL: _11Vallghanaair.nncllltants nm <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to,arrange a appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT Natal �a�caNiall DATE July 17,2018 <br /> 1. List up to ten addresses in the space belo 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. <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 all to <br /> ENVIRONMENTAL FILE ADDRESS A—C 0 _7/23/1? <br /> HEALTH DEPARTMENT <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONS <br /> ®Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) t,lil_"�tit-I,(A� ❑CONSUMER <br /> Q Other Cleanup Site(Non-LO 1 75 E Equipment Court French Camp �/y� <br /> • ©Hazardous Waste �r-_ 1 ' I ❑DAIRY <br /> x❑Tiered Permitted Facility z 120 E Equipment Court Fren <br /> [x]Aboveground Tank <br /> ®UST (Monitoring/Removal) ❑PWS <br /> Hazardous Materials s <br /> ®Spill/Release Response <br /> [E-WATER QUALrrV <br /> Solid Waste Facility/Vehicle 4 <br /> ❑Food Facility <br /> ❑Pool/Spa ©SITE MITIGATION <br /> ❑Dairy 5 <br /> Land Use Application Sites <br /> ®Septic Pumper Truck/ 6 ©HOUSING <br /> Yard/Chemical Toilets <br /> ©Wastewater Treatment Plant SICUPA <br /> ❑Housing Abatement 7 AST/HM I HW <br /> ®Motel/Hotel i <br /> ❑Chicken Ranch/Dog Kennel CUPA <br /> r]Medical Waste Facility 8 UST <br /> Tattoo/Body Piercing [DOLID WASTE <br /> ®Waste Tire g <br /> ®Complaint <br /> Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> 23 <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 1 F 209 464-0138 1 www.sjcehd.com <br />