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RECEIVED vd 5-, PIvo <br /> SAN rj DAQ u I N Environmental Health Department <br /> MAY 0 <br /> COUNTY— - - PUBLIC RECORDS RELEASE APPLICATION <br /> EMAIL <br /> PEAR EHD LOG NUMBER. <br /> APPLICANT: Megan Mauer BUSINESSIAGENCY:escreenl_ogic <br /> ADDRESS: 1221 S Congress Ave.Apt 238 CITYISTATEIZIP:Austin,Tx 78704 <br /> PHONE(1): 6128787055 PHONE 2 : FAX OR E-MAIL: m-mauer@Descreenlogic.com <br /> ) t, ogic.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 m.mauer@escreenlogic.com - DATE 513718 <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 infoAsicehd,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. r <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑x List® Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS �t C�J, -7 <br /> HEALTH DEPARTMENT <br /> FILES (Specific addresses andy,address ranges will not be accepted) C H D USE ONLY <br /> ®Underground Tann(UST) Street# Street Name City <br /> Cleanup Site(LOP) U'L y "" 1?fZ .Z ONSUM C+J <br /> 1 17267 N Sunrise Victor <br /> ®Other Cleanup Site(Nanl-L`O,,Pi;]k 0 ,,y <br /> Hazardous Waste ,�,yi`J' n ,t"v' ((/ �II� <br /> (f 1 �` l 1,71—F'�a�5f�2 t��l`�` urJ <br /> �Tiered Permitted Facility(l, 8751 Hwy 12 Vifor '"'0 <br /> X Aboveground Tank {� tALJ �} P r"tJ I�/ {Wr <br /> X UST (Mani[nrin 1 Remaual n la R* c ���.'''� PWS <br /> Q Hazardous Materials 3 72 � N rue <br /> i .0 G- <br /> ,a <br /> ®Spill 1 Release Response <br /> CD <br /> []Solid Waste Facility 1 Vehicle a 8888 E Hwy 12 Victor � <br /> E]Food Facility 6 <br /> ❑Pool 1 Spa 7?+ A�i\ �/, /J �,y��l '.Minrnncr., co <br /> E]Dairy 8980 E Hwy 12 Victor I �7U/� r/� <br /> ❑Land Use Application Sites U(X/ Y <br /> ❑Septic Pumper Truck! 6 g932 E Hwy 12 � r to r �� U Q Hausino <br /> Yard 7 Chemical Toilets C.t, 1� T�,r1 <br /> i n <br /> Wastewater Treatment Plant L'l�l / — r�rv7 c <br /> ❑Housing Abatement 7 8910 E H 4 JI!\/ 1 2 Victor <br /> cto r L: AST I HM I HW <br /> ®Motdfflclel V V�1 J LL V `V /I� <br /> ❑Chicken Ranch I Dag Kennel *�x <br /> v� � 0CUPA <br /> 8844 E Hwy 1for LIST <br /> Medical Waste Facility Tattoo/Body Piercing - - WtA .q13 7 <br /> — <br /> WasteTire a 8832 E Hwy 1ctor `' <br /> ❑Camplaint U+.7 �/ <br /> Other(Please Specify): ���lJr �A=uVfIMG <br /> 10 17285 N Bruella Rd fo <br /> r <br /> ***BOXED ARE!EHD EHD USE NLY <br /> Aft + 5 �t-1 +'r t= °l t� trr.z I�cs- 'V� P+XCZ :1110,1-A si4l VIAIZ k(A t (p <br /> r �j(y <br /> ❑ Records provided by Staff-PPR Complete. staff N4.: ( 1- u), EHD 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />