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SA N J 0 A Q U 10 RECEIVvironmer l Health Department <br /> COUNTY— <br /> SEP 7Q��91�e PUBLIC RECORDS RELEASE APPLICATION <br /> •'�'C{FG Y,r <br /> Greatness grOYWS r`icre. ���� <br /> ENMONMENTAL HEALTH EHD LOG NUMBER: 87022 <br /> PERMITISERIArp <br /> APPLICANT: MEGAN NOLET BUSINESSIAGENCY: AEI CONSULTANTS <br /> ADDRESS: 3880 S BASCOM AVE, STE 109 CITYISTATE/ZIP: SAN JOSE, CA 95124 <br /> PHONE (1): 408-559-7600 PHONE (2): FAX OR E-MAIL: 408-559-7601 <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 Processed via email by Staff. Dom M DATE September 5, 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 <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 Ps 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 riot returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. f ' <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 ( p y, 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses only, address ranges will not be ecce ted <br /> Underground Tank(UST) Street# Street Name City q-15. 7 <br /> Cleanup Site(LOP) <br /> CONSUMER <br /> Other Cleanup site{Non-LOP} 440 INDUSTRIAL DR STOCKTON y ND (,0(� <br /> Hazardous Waste /JD DAIRY <br /> Z Tiered Permitted Facility x 3412 PERLMAN DR STOCKTON <br /> Aboveground Tank I <br /> PWS <br /> UST (Monitoring/Removal) Ab <br /> ®Hazardous Materials 2120 BOEING WAY STOCKTON <br /> Spill/Release Response N� <br /> �� L I/ (,� ®wnm:R QUALITY <br /> Solid Waste Facility f vehicle 4 4510 ALITALIA AVE STOCKTON /�� 1 <br /> Food Facility j !"o u <br /> Pool!Spa X �3iTa MITIGATION <br /> F7 Dairy /5 4440 ALITALIA AVE STOCKTON CW� <br /> Z Land Use Application Sites <br /> ®septic Pumper Truck/ a r'01 ,0D Z'f2} HOUSING <br /> 4800 S AIRPORT WAY STOCKTON <br /> Yard 1 Chemical Toilets O W_ <br /> ®Wastewater Treatment Plant ��� C[JPA <br /> ®Housing Abatement 7 AST!HM!HW <br /> ® Motel/Hotel <br /> Chicken Ranch 1 Dog Kennel ®CiJPA <br /> 0 UST <br /> ® Medical Waste Facility <br /> ❑Tattoo/Body Piercing SQLIV WASTE <br /> ❑Waste Tire 9 <br /> ® Complaint <br /> Other{Please Specify): Q ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> 915/2017—EMAILED APP TO CONFIRM RECEIPT OF PRRA, INFORM THEM OF DELAY,AND THAT WE HAVE FILES. DOM M <br /> r <br /> ❑ Records provided by Staff-PP Complete. Staff Name; q_ I4-0 - n , f` 4 n, Das-os <br /> tf <br /> 1868 E. Hazelton Avenue E Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />