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ECEI 1) <br /> SAN .JOAQU nvironmental Health Department <br /> ins COUNTY MAR 30 20, PUBLIC RECORDS RELEASE APPLICATION <br /> • fF `.'.t E'Gr'rlC'S i ';, l�'>: EWP40NAEWA!"K�v'FH <br /> PEP ffl "3� EHD LOG NUMBER: "31 <br /> APPLICANT: Corinne Ackerman BUSINESSiAGENCY: Stantec Consulting Services <br /> ADDRESS: 3875 Atherton Road CITYISTATE/ZIP: Rocklin, CA 95765 <br /> PHONE(1): 91.6 468-9568 PHONE (2): 916 472-3980 FAX OR E-MAIL: corinne.ackerman@stantec.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contac" an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT_ DATE 03/29/18 <br /> 1. List up to ten addresses in tkEc.Nater uc,u_. 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(asicehd.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 END 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 behold 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. I� <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 <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> IJ Underground Tank(UST) Street# Street Name city <br /> Cleanup Site(LOP) El CORSUMM <br /> 1 214 S.Sacramento Street Lo I � <br /> ®Other Cleanup Site(Non-LOP <br /> Hazardous Waste ;+ a / ❑ <br /> [ f f/ oninr <br /> Tiered Permitted Facility 2 <br /> ®Aboveground Tank (� <br /> ® UST (Monitoring 1 Removal) + ❑PWS <br /> Hazardous Materials s PMO h�j <br /> IX]Spill!Release Response <br /> J+AreR QUALITYSolid Waste Facility 1 Vehicle 4 A �i ` <br /> Food Facility t j / <br /> []Pair � <br /> 1 Spa Sire Mine rcon <br /> Dairy 5 <br /> ❑Land Use Application Sites <br /> ❑HOUSMG <br /> Yard Pumper Truck 1 <br /> Yard 1 Chemical Toilets <br /> Wastewater Treatment Plant CUPA <br /> ❑Housing Abatement 7 AST 1 HM 1 HW <br /> MoteilHOtel <br /> Chicken Ranch 1 Dog Kennel CUPA <br /> E]Medical Waste Facility 13 UST <br /> I]Tattoo;Bcdy Piercing ❑SOLID WASTr <br /> Waste Tire 9 <br /> Complaint <br /> Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> `` —COXED AREA-EHD USi1E ONLY*** <br /> Amk 'J`�� l I - �"''A '4 rV--A . O' k a "Q I 49:; 'k <br /> I <br /> ® Records provided by Staff-PPR Complete.. stat Name: EHD 48-Os <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />