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RECEIVED <br /> SAN J OAQ U I N UL 0 �j Z Environmental Health Department <br /> COUNTY ---- PUBLIC RECORDS RELEASE APPLICATION <br /> ENVIRONMENTAL <br /> i tT7L-55 rCi' c hr <br /> F�wIT/"ER°;�' �1T BY EMAIL <br /> _7-qP/'A EHD LOG NUMBERV It 37 <br /> APPLICANT: Heather Hodgetts BUSINESSIAGENCY:Partner Engineering&Science Inc. <br /> ADDRESS: 5454 Caminito Bayo CITY/STATE/ZIP:La Jolla <br /> PHONE (1): 858-790-9327 PHONE(2): FAX OR E-MAIL: hhodgetts@partneresi.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 07/09/18 <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)464-0138,mail to the <br /> address indicated below,or email to info(a)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. ' l� <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: Zx List❑ Map—Description: <br /> Specific Date Range of Information Requested: From iil to au <br /> ENVIRONMENTAL FILE ADDRESS a-G() :7 13 le <br /> HEALTH DEPARTMENT ( ponly, 9 p ) EHD USE O LY <br /> FILES S ecific addresses address ranges will not be accepted) <br /> ❑X Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) CP ❑CONSUMER <br /> ❑X Other Cleanup Site(Non-LOP 1 14800 W. Schulte Rd.. TracysT $ <br /> • �Hazardous Waste t]DAIRY <br /> Q Tiered Permitted Facility 2 <br /> Q Aboveground Tank 51 1 '`� \?'l�t"�,l� V -V <br /> PWS <br /> Q UST (Monitoring/Removal) <br /> Q Hazardous Materials 3 <br /> Q Spill/Release Response <br /> ATER QUALITY <br /> Q Solid Waste Facility/Vehicle 4 <br /> Food Facility <br /> Pool/Spa SITE MITIGATION <br /> Dairy 5 <br /> F]Land Use Application Sites <br /> HOUSING <br /> ❑X Septic Pumper Truck/ 6 <br /> Yard/Chemical Toilets <br /> FRI Wastewater Treatment Plant CUPA <br /> ❑Housing Abatement 7 AST I HM I HW <br /> ❑Motel/Hotel <br /> Chicken Ranch I Dog Kennel UPA <br /> g UST <br /> Medical Waste Facility <br /> ❑Tattoo/Body Piercing NfSOLID WASTE <br /> ❑Waste Tire 9 <br /> Q Complaint <br /> ❑Other(Please Specify): ❑AccouNTING <br /> 10 <br /> —BOXED AREA-EHD USE ONLY- <br /> 4 I 1. 7 � - IL k."" <br /> camj' 0111tm 5 <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: U EHD48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />