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RECEIVED <br /> 5 A N J aA Q U I N.,aN 0 [j 2018 Environmental Health Department <br /> . --COUNT PUBLIC ECDRDS RELEASE APPLICATION <br /> L'O�r Ii.t,V.,1IIR IT BY EMAILg <br /> f3q34 <br /> �' 69M EHD LOG NUMBER: <br /> APPLICANT: Andrew Savage 8USINESSIAGENCY:ERAS£nvironmenlal•Inc. <br /> ADDRESS: 1533 estreat CITYISTATEIZIP:HaywardlCalifomialS4541 <br /> PHONE(1): 510-247-9,385x302 PHONE(2): FAX OR E-MAIL; andrew@eras.biz <br /> Please allow 10 business days from date of application submittal forthe 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 6.6.18 <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)464-0_138 snail to the <br /> address indicated below_,or email to info(u_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 hold 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 FHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$152 deposit prior to review. {/ Lk <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8;00 AM•5:00PM (EXCLUDING HOLIDAYS) <br /> Electronic Information: D List Ll Map—Description: <br /> Specific Date Range of Information Requested: Frain All to Alt <br /> ENVIRONMENTAL A <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES (Specific addresses onsy,address ranges will not be accepted) EHD DUVSD E N LIYZ <br /> n Underground Tank{UST) Street# Street Name city �� <br /> Cleanup Elle lLOP) y`+,�«3 PRD 514 3tp Z� uea <br /> 0 Other Cleanup Slte(Non-LOP) 1 1111 Navy Drive Stockton <br /> I�Hazardous Waste �5Tty �0 93Y H <br /> 1 L 0 0Ar<imIm <br /> 19 Tlorad Permuted Facility 2 1 240 Navy Drive Stockton <br /> FX Aboveground TankI ti� <br /> 0 UST (Manitoring 1 Re lw rN►"! CJ PWS <br /> NHazardous Materials 1443 Navy D rive Stockton <br /> ❑x Split I Release Responm- <br /> ATCfi qunurr <br /> ❑X Solid Waste Facllily 1 Vehue 4 <br /> n Food Facky — <br /> F]Pact 1 Spa SofsrrE M1nGAnOH <br /> F1 Dalry 5 <br /> Land Use Applica Ila n Site <br /> � �FIOUsfrHi <br /> Septic Pumper Truck 1 6 <br /> Yard 1 Chemical Tollets <br /> []x Wastewater Treatment Plant WfUPA <br /> I1 Housing Abatement 7 AST 1 HM 1 HW <br /> F]MoteilHotel <br /> ❑Chicken Ranch 1 Ong}fennel UPA <br /> 6 UST <br /> I]Medlcal Waste Faci% <br /> F1 Tattoolaody Piercln9 ie WASYS <br /> waste The g <br /> QX complaint <br /> Other(Please Specify): <br /> ❑Accowrnw <br /> 10 <br /> ...BOXED AREA-EHD USE ONLY... <br /> E: <br /> I <br /> `� .-h C'1,.1Je K ri r`+Ca rC i} I A.1.r^vJ L ►'lblv'2�•- / . ...1 <br /> 1 3 5� 5t rr,e t <br /> Z 1 <br /> ❑ Records provided by Staff-PPR Comple#e. 5lall lEamc: - EI{n 46•e6 <br /> 3-1I2 11Y " 00krnP161 a#r, 1200c);4L.-p3, 0,7_3-I 'i I e000 LO 3,CL)XVb5cp1 COQ q'? cffp fLAr+c.Ly <br /> 1868 E. Hazelton Avenue { Stockton, California 95205 I T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com I <br /> Pw RLe, M� 5i3�(o. Ccrnpionr-5 CU CtsS�ilCUpp!�f�9(o, CU[,l0f4a*9�� CDL�)10tej-, Ct3av:�[��I (�lNo <br /> Q IV pvu r d-Od H w Cie PIZ p'LVA�0 frx I-142 lllirtt YP-. <br />