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RECEIVED <br /> S A FEB 0 9 20`18 Environmental Health Department <br /> ---COU N T Y----- PUBLIC RECORDS RELEASE APPLICATION <br /> ENVIRONMENTAL HEALTH gw,) <br /> PERMITfSERVICES 2 <br /> EHD LOG NUMBER: <br /> APPLICANT: Noll Valera BUSINESS/AGENCY: FFI Global <br /> ADDRESS: 433 Airport Blvd.,Suite 303 CITYISTATEIZIP: Burlingame,CA 94010 <br /> PHONE (1): 415-857-8517 PHONE (2): FAX OR E-MAIL: Noli—Valera@efiglobal.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 T✓': DATE 2108/2018 <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)464-4138,mail to the <br /> address indicated below,or email to info(a?sicehd.connl 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 END 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 ❑ Map— Description: <br /> Specific Date Range of Information Requested: From earliest to present I �, 46 <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT Y 9 accepted) EHD USE aNLY <br /> FILES (Specific addresses DTII address ranges will not be acce ted <br /> Pq Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) i) j 1Vj CONSUMER <br /> ❑ <br /> � 2966 French Camp Turnpike Stockton N <br /> Other Cleanup Site(Non-LOP) I '6 a <br /> Hazardous Waste A)O '4 ®DAIRY <br /> Tiered Permitted Facility 2 3000 French Camp Turnpike Stockton N d <br /> Ij Aboveground Tank FJ i <br /> UST (Monitoring!Removal) /�j-�,,,l� <br /> �iZ p PWS <br /> Hazardous Matedals 3 2-011,64 \` fA ot'�- ztw+,0 1 r, �f T C0 <br /> iN Spill I Release Response 1A/ I <br /> Solid Waste Facility 1 Vehi qT +�.�, No [P ATER QUALITY <br /> F-1FoodFacility �1� ✓�� f " � N <br /> ❑Pool I Spa Ire MITIGATION <br /> Dairy 5 /V T <br /> • <br /> IJ Land Use Application Sites <br /> ❑Septic Pumper Truck I6 ❑HOUSING <br /> Yard I Chemical Toilets <br /> ®Wastewater Treatment Plant CUPA <br /> Housing Abatement 7 AST 1 HM I HW <br /> H Motel/Hotel <br /> Chicken Ranch/Dog Kennel UPA <br /> Medical Waste Facility a LIST <br /> ❑Tattoo/Body Piercing <br /> ❑8oLso WnsTE <br /> Waste Tire 9 <br /> complaint <br /> Other(Please Specify): ❑AccouNnwc <br /> 10 <br /> —BOXED AREA--,EHD U9S,E` ONLY*** <br /> 4"J-1'l'CJ"Ir l"1G\Illb� �;1dtiMf.` Kj!`�- � -i 4 <br /> W M tf—lil` *9`' <br /> ' <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD 4s-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 />