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RFA.rtQcEjyED f SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> JUL20 2017 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> lIMA111 ENTAL VWPIM Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PERMIT r>EF 'ICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Cameron Curtis BUSINESS/AGENCY: ENER S iC <br /> ADDRESS: 80 Blue Ravine Road, Suite 280 CITY/STATE/ZIP: Foksnm, /� 30 <br /> PHONE(1): 916-480-0203 PHONE(2): 916-480-0207 FAX OR E-MAIL: r urtis(d�enercon.rom <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 reviewthe requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$139 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT C�/1i ( � DATE 7/20/2017 <br /> 1. List up to ten addresses in the space below. Select the type(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$139 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: 4Z List JZ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> V UNDERGROUND TANK(UST) Street# Street Name City (+ ,, <br /> CLEANUP SITE(LOP) Yosemite Avenue Manteca, /f�� ❑CONSUMER <br /> JZ OTHER CLEANUP SITE(NON-LOP) 2073 C <br /> HAZARDOUS WASTE AcV�7 `'I ❑DAIRY <br /> TIERED PERMITTED FACILITY 171 1 Industrail Way Tracy, CA <br /> JZ ABOVEGROUND TANK <br /> VUST (MONITORING/REMOVAL) ❑PWS <br /> q HAZARDOUS MATERIALS 3 <br /> EtSPILLIRELEASE RESPONSE <br /> vW SOLID WASTE FACILITY/VEHICLE 4 K(WATER QUALITY <br /> FOOD FACILITY <br /> POOL/SPA ITE MITIGATION <br /> DAIRY 5 ! <br /> EZ LAND USE APPLICATION SITES / <br /> SEPTIC PUMPER TRUCK/ HOUSING <br /> 6 <br /> YARD/CHEMICAL TOILETS <br /> WASTEWATER TREATMENT PLANT UPA <br /> ®HOUSING ABATEMENT 7 <br /> MOTEL/HOTEL ool <br /> ❑CHICKEN RANCH/DOG KENNEL . CUPA-UST <br /> it MEDICAL WASTE FACILITY $ <br /> F]TATTOO/BODY PIERCING '' / <br /> WASTE TIRE 12 SOLID WASTE <br /> 9 <br /> ❑COMPLAINT �n 12 <br /> OTHER(PLEASE SPECIFY: ACCOUNTING <br /> 10T I/ E] <br /> ***BOXED AREA-EHD USE ONLY*** <br /> el n'-� (. n�v !"CC" i3 i f" `v-, l� <br /> W. <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> EHD 48-06 <br />