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RECEIVE <br /> SAN M A N NAR 6 4 2018 ('pEnvironmental Health Department <br /> _. _COL) Itl T Y PUBLIC RECORDS RELEASE APPLICATION <br /> I1�Ali V <br /> �� IY Eh7AIL <br /> EHD LOG [NUMBER. <br /> APPLICANT: Gregory George BUSINESSIAGENCY:EES Environmental,Inc. <br /> ADDRESS: 7665 Redwood Boulevard,#200 CITY/STATEIZIP:Novato,CA. 94945 <br /> PHONE(1): 8184694-5406 PHONE(2): FAX OR E-MAIL: ggeorge@pesenv.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 DATE 414118 <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)X64-0138,mail to the <br /> address indicated below, or email to info@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-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> 4 <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT EHD USE ONLY <br /> FILES (Specific addresses only,address ranges will not be accepted) <br /> Underground Tank(UST) Street <br /> ® <br /> 1 <br /> StreerNaglee <br /> Name City <br /> -- <br /> GOMSUMEa <br /> Cleanup SitelLOP) 241RoadTracy <br /> Other Cleanup Siie(Nan LOP) <br /> Hazardous waste ❑DAIRYzrTiered Pe rniited Facility o Try/4Naglee Ra <br /> Aboveground Tank <br /> ❑PWS <br /> F1UST (Monitoring I Removal) X451~ Naglee Roa ' Tracy �G�l <br /> 3 <br /> nX Hazardous Materials — t. <br /> Q Spill t Release Response ❑WATERQUALIT <br /> Q Solid Waste Facitity!Vehicle 42-48.2 <br /> 4 V ti.. I Y a g l e e Road Jracy , <br /> II 17 <br /> FOOd FaCltlty Vim• [:]SITE M17IGA71ON <br /> Pool ElDairy pa 5 ?74F Naglee Roo Tracy ��" <br /> El Dairy <br /> •Land use Application Sitesr HOUSING <br /> ❑Septic Pumper Truck/ 6 w.. Naglee Roa <br /> Yard lChemicalToilets <br /> � 1 7 5�� Tracy J-0 0�_n <br /> UPA <br /> wastewater Treatment Plant <br /> AST(HMlHW <br /> Housing Abatement 7 <br /> ❑Motel/Hotel p COPA <br /> Q Chicken Ranch 1 Dog Kennel UST <br /> 8 <br /> Medical Waste Facility <br /> Q Tattoo/Body Piercing ❑SOLID WASTE <br /> Lj Waste Tire 9 <br /> []Complaint AceoummM; <br /> ❑Other(Please Specify): <br /> 16 <br /> ­BOXED AREA-EHD USE ONLY"* <br /> J �[T <br /> ❑ Records provided by Staff-PPR Complete. staff Name; EHD 48-06 <br /> 1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />