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OCC <br />SAN <br />EI JDAQ'u 1 jr—_ E1 Environmental Health Department <br />CDU NTY L411�� $ ���� PUBLIC RECORDS RELEASE PPLICATION l : <br />ENVIRONMENTAL H I�/IiT BY B <br />PERMIPSERIlAr MAiL 93537 <br />EHD LOG NUMBER: <br />APPLICANT: KEVIN JOHNSTON <br />ADDRESS: 2288 BUENA VISTA AVENUE <br />BUSINESSIAGENCY: <br />CITYISTATEIZIP: LIVERMORE CA 94550 <br />PHONE (1): 9254475200 PHONE (2): FAX OR E-MAIL: CAT416CITc@i GMAIL.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_-aff7appctbffnent date and time to review the requested records.. <br />SIGNATURE OF APPLICANTr, f DATE 4-13-18 <br />1. List u in to ten addresses th� space ~below�kddress 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 (2091464-0138, mail to the <br />address indicated below, or email to infoCcDsicehd.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 PRESENT <br />ENVIRONMENTAL <br />FILE ADDRESS <br />HEALTH DEPARTMENT <br />FILES <br />S ecif c addresses <br />p <br />only, ranges will not <br />be accepted) <br />p <br />H D USE ONLY <br />71 Underground Tank (UST) <br />Street # <br />Street Name <br />City <br />25485 <br />�STRT 4 HY <br />FARMINGTON <br />CONIIIII <br />Cleanup Site (LOP) <br />X, Other Cleanup Site (Nan -LOP)' <br />X Hazardous Waste�ti`��1 <br />litiyi "Nrl'l, �h l <br />f 0 DaiN <br />{ <br />I� Tiered Permitted Facility <br />z- <br />4469 <br />E ESCALON BELLOTA RD <br />FARMINGTON <br />Q Aboveground Tank <br />Q UST (Monitraring 1 Removaly <br />3 <br />17000 <br />ST RT 120 HY <br />t <br />RIPO�.AKP ViaN <br />,I4 <br />- I PIc <br />Fxj Hazardous Materials <br />RX Spill f Release Response <br />0 solid Waste Facility 1 Vehicle <br />4 <br />16636 <br />E ST RT 120 HY <br />a yATIM <br />RIPON <br />11111 <br />h Food Facility <br />Q Pool 1 Spa <br />� <br />RIPON <br />s <br />16996 <br />E ST RT 120 <br />Sire Mnioartan <br />[� <br />M dairy <br />_ <br />FX-] Land use Application Sites <br />p septic Pumper Truck) <br />8 <br />21801 <br />E ST RD 120 HY <br />1- / ' f�Q <br />"'�t�l � 9 �'Gr ��V <br />ESCALON <br />J <br />� HOU61NG <br />I. <br />V <br />�VVUV````��������''''''''' r <br />�'0` <br />Yard 1 Chemical Toilets <br />t -1M l�� X1.7 `7,n-�4 <br />CLIPA <br />Fx_1 Wastewater Treatment Plant <br />QHousing Abatement <br />7950 <br />-ii-Fr <br />S VAN ALLEN RD <br />i ,, i <br />ESCALON <br />ASTIHMrHW <br />Rx MotellHctel <br />y <br />.�J <br />LJ PA <br />Q Chicken Ranch 1 Dog Kennel <br />a <br />1 851 <br />VALPICO ROAD <br />TRACY <br />JIT <br />Q Medical Waste Facility <br />Q Tattoo/Bedy Piercing <br />SOLID WASTE <br />EWaste Tire <br />9`1 <br />735!7 <br />I I <br />S MURPHY RD <br />RIPON <br />0 Complaint <br />10 <br />17428 <br />V—ORTH RIPON RD <br />RIPON <br />❑ AccauNnNc <br />Other (Please Specify): t �y <br />,-uTl <br />BOXED AREA - EHD USE ONLY <br />❑ Records provided by Staff -PPR Complete. staff Name: EHD48-o5 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 I www.sicehd.com <br />