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rptutivtu <br /> SAN f OAQ U I N Environmental Health Department <br /> COUNTY MAR 1 2018 PUBLIC RECORDS RELEASE APPLICATION <br /> _a: r Gaeotness grows 1;ere.EWROMAWM.!`l�k1r.7�I V � <br /> PEW/80MM EHD LOG NUMBER: <br /> APPLICANT: PARMINDER SINGH BUSINESSIAGENCY: 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: GREArAMERICAaoa4r�YAHoo.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 info(a7sicehd.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. J� <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 ( A y 9 accepted) EHD USE ONLY <br /> FILES 5 ec%fic addresses only, address ranges will not be acre ted <br /> Z Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) W 000 7 CONSUMER <br /> p { 1 500 E LOUISE AVE LATHROP / ^ 5 C 3 �W^�, r <br /> ® Other Gleams Site Non-LOP) �©� � S `�-- ! <br /> ® Hazardous Waste y <br /> Tiered Permitted Facility 2 44K+M.-rCALARl2,SM,VVT,-A9�-SW, <br /> n ]' <br /> ® UST,LOP,LU,PERMITS,COME , <br /> Z Aboveground Tank <br /> UST (Monitoring I Removal) PWS <br /> 0 Hazardous Materials 9 17100 MURPHY PKWY <br /> r . <br /> Z Spill/Release Response <br /> ATER QUALITY <br /> ®Solid Waste Facility I Vehicle 4 SM.p6e,^'. <br /> Z Food Facility <br /> ® Pool!Spa � /.� 1� '� /„p n i�, � SITE MrncnnoN <br /> ® Dairy <br /> Z Land Use Application Sites �/� [� �7° 1 <br /> ®Septic Pumper Truck 1 s E 0—a f` t 1{ � `� � 1 s'RC <br /> ` <br /> Yard!Chemical Toilets 1 rAr <br /> f <br /> ®Wastewater Treatment Plant l l GUPA <br /> ® Housing Abatement 7 �J ASTIHMIHW <br /> Z Motel/Hotel <br /> Z Chicken Ranch 1 Dog Kennel CUPA <br /> s UST <br /> Z Medical Waste Facility <br /> ® TattoolBody Piercing SeLID WASTE <br /> Z Waste Tire g <br /> ® Complaint <br /> ® Other(Please Specify): [3 AcccuNnNG <br /> 19 <br /> Septic and Well permits <br /> —BOXED AREA-EHID USE ONLY— <br /> i[)Records provided by Staff-PPR Complete. staff Name: F1 ae-os <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.coi-n <br />