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aM—E 91IErom 510338319 - <br /> { /, 09/07/2016 10:55 #313 P.001/001 <br /> ■ 6 J�\..I.•.z �jj t <br /> H <br /> a Ir <br /> N DATE-RECEIVED,"��1'f <br /> G8"D SAN JOAEQ�UIN COUNTY EHD LOG NUMBER <br /> HEALTH EALTH on,DEPARTMENT95205- 19 9 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.s ov.or /ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: _Brie SolaegUi BUSINESS/AGENCY: AF.I Consultants <br /> ADDRESS: 5�d Street Suite 209 CITY/STATE/ZIP: Oakland is 99607 <br /> PHONE(1)t 510-907-4145 ext 710? PHONE(2): FAX OR E-MAIL: <br /> Please allow 10 business days from date of application submittal for the records to be avai able. om <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT r DATE_91x/16 <br /> 1. List up to ten addresses in the space below. Select th e(s)of files from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next 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. <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH C DEPARTMENT FILE ADDRESS <br /> FILES EHD USE C�r�ILY <br /> (� <br /> IUNDERGROUND TANK(UST) Street# Street Name city <br /> SIT <br /> OTHER C EAN (LOP) 1 1399 Yosemite Avenue E Manteca wPl Q"AII,- co t7 C-N LMJER <br /> ❑OTHER CLEANUP SITE(NDN-LOP) <br /> HAZARDONS WASTE <br /> ❑TIERED PERMITTED FACILITY 3 <br /> ❑ABOVEGROUND TANF <br /> ❑'JST (MONITORING I REMOVAQ x(�/, DPws <br /> HAZARDOUS MATERIALS 3 'J-1 <br /> ❑SPILL/REL CASE RESPONSE <br /> ❑SOLID WASTE FACILITY/VEHICLE 4 <br /> WATER 01 <br /> FOOD FACILITY <br /> a(15 <br /> E3 POOL/SPA D sI*E MrtcAnon <br /> DAIRY 5 <br /> ❑LAND USE APPLICATION SITES <br /> ❑SEPNC PUMPER TRUCK/ 6 ❑HOUSING <br /> YARD/CHEMICAL TOaETS <br /> WASTEWATER TREATMENT PLANT CUPA <br /> ❑HOUSING ABATEMENT i <br /> ❑MOTEUHOTEL <br /> ❑CHICKEN RANCH/DOG KENNEL [:I CUPA HAZ-MAT <br /> B <br /> ❑MEDICAL WASTE FACILITY <br /> ❑TAT100/8ODY PIERCING <br /> p SDUD WASTE <br /> E3 WASTE TIRE y <br /> ❑COMPLAIIR <br /> ❑OTHER(PLEASF SPECI )) ACCOVMItK'. <br /> E <br /> 0 <br /> ------------- <br /> "'BOXED AREA-EHD USE ONLY"' <br /> 1 <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> EHD 4"S <br /> Received Time Sep, 7, 2016 10:50AM No. 1172 1 <br />