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RECEIVED (zo d 5-1 Pro <br /> SAN J OA Q U I N ,JAY 0 � ,���� Environmental Health Department <br /> COUNTY— � � PUBLIC RECORDS RELEASE APPLICATION <br /> . <br /> ��� EMAIL EHD LOG NUMBER. �`13 7 <br /> APPLICANT: Megan Mauer BUSINESSIAGENCY:escreerl-ogic <br /> ADDRESS: 1221 S Congress Ave.Apt.238 CITY/STATE/ZIP:Austin,TX 78704 <br /> PHONE (1): 5128787055 PHONE(2): FAX OR E-MAIL: m.mauer@escreenloglc.rum <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.mauera@escreenlogic.com DATE : :31t9 <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)464-0108, mail to the <br /> address indicated below, or email to info ftsiceind,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. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br /> Electronic Information: ® List 0 Map-Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS FILES (Specific c addresses orfy, address ranges Will not be accepted) EHDU E ONLY <br /> ❑X Underground Tank(UST) Street# Street Name city <br /> Cleanup Site(LOP) tAL rV-\ ��t <br /> � x ous <br /> ❑Other Cleanup Site(Non-LOP,k, 1'267N Sunrise Victor <br /> Aj <br /> X❑Hazardous waste ��i ,t,ky. 0 <br /> 0 Tiered Permitted Facilit � 8751 ■ / ;t�a '��� '2 �' <br /> ❑X Aboveground Tank Hwy L\� �I Jk tor N �TUUI%f <br /> UST {Monitoring I Removal) 11� c Lw41A /�'� L l 1 ❑PWS <br /> Q Hazardous Materials 3 1 7250 N B ru e I l a R O r <br /> Spill I Release Response • • J �r <br /> 1 , .5 P.2,Z�r r,C cD <br /> ❑Solid Waste Facility!Vehicle 4 8 8 8 S? E H�x ry 1 2 Victor GJ(.I �n <br /> ❑Food Facility C3 LJ O V Hwy�f V U W <br /> ❑Pool d Spa8980 <br /> p ��+ q)4 I LITE M,r,eanoN r'0 <br /> ❑Dairy 5 8980 E Hwy 12 Victor /t ! ALJ <br /> ❑ Land Use Application Sites I lM ' <br /> []Septic Pumper Truck 1 6 $932 E Hwy 12 A <br /> t0 r N J Lj� ❑Hous,r�c <br /> Yard 1 Chemical Toilets ' r <br /> !at <br /> r-1 Wastewater Treatment Plant v ; C 7 <br /> Vr <br /> i <br /> CD <br /> r-1 Housing Abatement 7 ASTIHMIHW( 10 E hy1 Victor OJEl motel/Hotel y/ <br /> ❑Chicken Ranch I Dog Kennel Sl,1Ii �k{y�! i"6f,v� !� CUPA <br /> 8844 E Hwy 12 to r , <br /> F-1 Medical Waste Facility UST <br /> Tattoo/Body Piercing U -/ <br /> ❑Waste Tire 9 8$8,2 E Hwy 12 Victor <br /> ❑complaint r! <br /> ❑Other(Please Specify): ❑AcccunmNc <br /> 10 17285 N Bruella Rdh Cfor U,5 r- <br /> .—BOXED AREA-EHD USEONLY` <br /> kent tir-e 61,4z— 1c 15 0 <br /> 1 <br /> 1 1 /' <br /> EI Records provided by Staff-PPR Complete. stats Name: . -{ ` 0, • E1-1048-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sjcehd.com <br />