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t1tutivCU <br /> SAN JOAQUIN Environmental Health Department <br /> --COUNTY— MAR 14 2018 PUBLIC RECORDS RELEASE APPLICATION <br /> Greotness grows here. W6;LN <br /> PMWMERNM EHD LOG NUMBER: W6 <br /> ;LN <br /> PARMINDER SINGH BUSINESS/AGENCY: JAIN REALTY <br /> ADDRESS: 7741 AGATE BEACH WAY CITY/STATE/ZIP: ANTELOPE, CA 95843 <br /> PHONE (1): 916-4100711 PHONE(2): FAX OR E-MAIL: GREATAMERICA20040YAHoo.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 BY STAFF. DOM M DATE MARCH 14, 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 infone-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 to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT Only, 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses address ranges will not be acce ted <br /> ®Underground Tank(UST) Street# Street Name city <br /> Cleanup Site(LOP) CO 000 7 4- <br /> 500 E LOUISE AVE LATHROP /� Coxsuaea <br /> ® Other Cleanup Site(Non-LOP) /00 3 7 Ss3 Q' / )77 <br /> ® Hazardous Waste 11 W Q ` Ibb V& 5 <br /> ®Tiered Permitted Facility 2 +w,',�Al.A&F,SM,WT,-AST;SW, f� / <br /> UST,LOP,LU,PERMITS,COMP r I I R I q �Q <br /> ®Aboveground Tank <br /> ® UST (Monitoring/Removal) PWS <br /> ® Hazardous Materials 3 17100 MURPHY PKWY T R R. <br /> r <br /> ®Spill/Release Response <br /> area QUA�m <br /> ®Solid Waste Facility/Vehicle q SM. I"�/M�4 <br /> ® Food Facility t/� <br /> ® Pool/Spa LN s p � ne MmcAnoN <br /> ® Dairy l.N C_ I V <br /> ® Land Use Application Sites j/��_r� f_ n�n^^^ <br /> ®Septic Pumper Truck/ a ` I .� f+V� 'I"{leA tjll� vV'Y`( sixC <br /> Yard/Chemical Toilets <br /> Wastewater Treatment Plantn r 1 CUPA <br /> Ecis <br /> ® Housing Abatement T I r( LAST/HM/HW <br /> ® Motel/Hotel <br /> ®Chicken Ranch/Dog Kennel I UPA <br /> 8 UST <br /> ®Medical Waste Facility <br /> ® <br /> Tattoo/Body Piercing SOLID WAsre <br /> ® Waste Tire a <br /> ®Complaint <br /> ®Other(Please Specify): ElACCOUNTING <br /> a <br /> Septic and Well permits <br /> **'BOXED AREA-EHD USE ONLY*"* <br /> 7[EDJ Records provided by Staff-PPR Complete. staff Name: Eno_RD48 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />