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�A�fE SAN JOAQUIN COUNTY� EHD LOG NUMBER <br /> n .,� <br /> I I i` 9�'"'v ENVIRONMENTAL HEALTH DEPARTMENT <br /> J 10� 261? +j� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 86736 <br /> MIN.IIAENTALIT ne: (209)468-3420 Fax: (209)464-0138 Web: www.5icehd.com Email: info-psicehd.com <br /> PEfrAlTISMA.CES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: MEGAN NOLET BUSINESSIAGENCY: AEI CONSULTANTS <br /> ADDRESS: 3880 S BASCOM AVE, STE 109 CITY/STATE/ZIP: SAN JOSE, CA 95124 <br /> PHONE (1): 408-559-7600 PHONE, (2): 408-559-7601 FAX OR E-MAIL: MNOLEIPAEICONSULTANTS.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 /> ❑ CHECK BOX TO EXPEDITE REQUEST-$152 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT PROCESSED VIA EMAIL BY STAFF. DOM M DATE JULY 21,2017 <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 list <br /> 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 above, 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 above. <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. —71 <br /> Future file reviews by the same applicant may require a $139 deposit prior to review. {�t� <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 ( p Y 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses and address ran es will not be acce ted <br /> ®UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) ❑CONSUMER <br /> t 17700 SHIDELER PKWY LATHROP rt� <br /> ®©THER CLEANUP SITE(iJON-LOP) <br /> Z HAZARDOUS WASTE DAIRY <br /> ®TIERED PERMITTED FACILITY 2 17702 SHIDELER PKWY LATHROP <br /> ® <br /> ABOVEGROUND TANK f� _ <br /> ®UST (MONITORING 1 REMOVAL) <br /> PWS <br /> HAZARDOUS MATERIALS 3 17704 SHIDELER PKWY LATHROP ►�i1�i <br /> ®SPILURELEASE RESPONSE <br /> ®WATER DUALITY <br /> ®SOLID WASTE FACILITY IVEHICLE 4 17706 SHIDELER PKWY LATHROP 1/ � <br /> ❑FOOD FACILITY <br /> ❑POOL I SPA SITE MITIGATION <br /> F1 DAIRY 5 17708 SHIDELER PKWY LATHROP <br /> Z LAND USE APPLICATION SITES <br /> SEPTIC PUMPER TRUCK/ 8 ®HOUSING <br /> 17710 SHIDELER PKWY LATHROP *�,� <br /> YARD I CHEMICAL TOILETS <br /> ®WASTEWATER TREATMENT PLANT ®CUPA <br /> HOUSING ABATEMENT 7 17712 SHIDELER PKWY LATHROP t, f <br /> MOTEL/HOTEL <br /> ❑CHICKEN RANCH/DOG KENNEL 0 CUPA-UST <br /> 17714 SHIDELER PKWY LATHROPj , <br /> ®MEDICAL WASTE FACILITY <br /> ❑TATTOO/BODY PIERCING lZ SOLID WASTE <br /> ❑WASTE TIRE 9 17716 SHIDELER PKWY LATHROP n lr <br /> I^�I COMPLAINT �Vt <br /> OTHER(PLEASE SPECIFY): ❑ACCOUNTING <br /> is 17718 SHIDELER PKWY LATHROP <br /> —BOXED AREA-EHD USE ONLY- <br /> 7/21/2017--EMAILED APP TO REVISE REQ, OR BATCH PROCESSING IS NEEDED FOR THE 22 REQ ADDRS.APP WILL DO <br /> BATCH PROCESSING. DOM M <br /> 1 OF 3 <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> EHD 48-08 <br />