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SAN J X01 I U it 1 ir®nme Health Department <br /> ----COU NTY --_ FEB 0 2 2I�U 1. PUBLIC RECORDS RELEASE APPLICATION <br /> Greatness grouts here. 87926 <br /> EHD LOG NUMBER: <br /> 9�i�ulrr��la <br /> APPLICANT: ANTHONY WOHLETZ BUSINESS/AGENCY: KLEINFELDER <br /> ADDRESS: 2882 PROSPECT PARK CITY/STATE/ZIP: SACRAMENTO, CA 95670 <br /> PHONE (1): 916-366-1701 PHONE (2): 530-321-1280 FAX OR E-MAIL: AWOHLETZ@KLEINFELDER.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 PROCESSED VIA EMAIL BY STAFF. DOM M JPATE FH6RU Y 2,,,W1gj <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Sel ct the type(s) of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. ftx4o (.2004 464-01.38, mail to the <br /> address indicated below, or email to infolj5 sicehd.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. A�— <br /> WELL <br /> 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 to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( P y 9accepted)_ ) EHD USE ONLY <br /> FILES (Specific addresses only, address ranges will not be <br /> ®Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) DANIELS ST „/ ❑CONSUMER <br /> ®Other Cleanup Site(Non-LOP) 440 APN 241-530-01 — MANTECA " <br /> AN�yt?�Wtt 71 <br /> Hazardous Waste VO DAIRY <br /> ®Tiered Permitted Facility /19160 S MCKINL31 AVE MANTECA , ❑ <br /> ®Aboveground Tank X []APN 241-310-34 <br /> ®UST (Monitoring/Removal) s 2516 W YOSEMITE AVE MANTECA <br /> Puts <br /> Hazardous Materials <br /> ® APN 241-310-44 5. <br /> � <br /> ®Spill/Release Response <br /> ®Solid Waste Facility/Vehicle W YOSEMITE AVE � ®WATER QUALITY <br /> 4 2518 MANTECA <br /> Food Facility APN 241-310-32 <br /> Pool/ a 10 SITE MITIGATION <br /> F-1 � s 2600 W YOSEMITE AVE MANTECA <br /> Dairy APN 241-310-53 <br /> Land Use Application Sites lei <br /> Septic Pumper Truck/ 6 W YOSEMITE AVE <br /> 2602 \ HOUSING <br /> \\_ <br /> Yard/Chemical Toilets APN 241-310-52 MANTECA <br /> Wastewater Treatment Plant R CUPA <br /> Housing Abatement T AST/HM/HW <br /> F1 Motel/Hotel <br /> Chicken Ranch/Dog Kennel ®CUPA <br /> Medical Waste Facility 8 UST <br /> F]Tattoo/Body Piercing ®SOLID WASTE <br /> Waste Tire <br /> F] Complaint [9j� <br /> Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> _/2/2018-EMAILED APPLICANT, CONFIRMED RECEIPT OF PRRA, INFORMED OF DELAY,AND WE HAVE FILES. DOM M <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />