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`-AN JOAO u Environmen <br /> t9a, Health Department <br /> 2' 7 20% <br /> C 0 U N T Y PUBLIC RECORDS RELEASE APPLICATION <br /> G: i nt.' ov. I. <br /> -PERMrF18E1?V1iCE-S EHD LOG NUMBER: <br /> APPLICANT: Natalie Vaughan BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 3880 S Bascom Ave, Suite 109 CITY/STATE/ZIP: Oakland, CA 94607 <br /> PHONE(1): 408-550-7600 PHONE(2): 925-922-4900 FAX ORE-MAIL: <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arr?npointment date and time to review the requested records. <br /> ge an a <br /> SIGNATURE OF APPLICANT_ T/6 M11 DATE June 27,2018 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. <br /> rjfthej:pe(,pa ciffilasIrDim the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected F D 9)1AF01:19 Mil to the <br /> address indicated below,or email to infop_sicehd.com. Applications received after 3:01 AWIlLe pkE(kdid tit 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: E] List E] Map—Description: <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> [X1 Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) <br /> ) 771 East Roth Road French Cam CONSUMER <br /> FX]Other Cleanup Site(Non-LOP) <br /> Hazardous Waste ❑DAIRY <br /> Tiered Permitted Facility 783 East Roth Road French Camp <br /> Aboveground Tank <br /> LIST (Monitoring I Removal) 787El Pws <br /> Hazardous Materials I East Roth Road French Camr <br /> Spill/Release Response g'�VATER QUALITY <br /> nSolid waste Facility I Vehicle 4 791 East Roth Road French Camp <br /> F1 Food Facility <br /> Pool I Spa 2'SITE MITIGATION <br /> F-]Dairy 7-95 East Roth Road French Cam[ <br /> Land Use Application Sites <br /> Septic Pumper Truck/ ®'HOUSING <br /> Yard I Chemical Toilets <br /> Wastewater Treatment Plant &I CUPA <br /> Housing Abatement 7 ASTI HM/HW <br /> P9 Motel/Hotel <br /> F-1 Chicken Ranch I Dog Kennel (01C U PA <br /> rl Medical Waste Facility 8 UST <br /> F]Tattoo/Body Piercing 2 1 SOLID WASTE <br /> P9 Waste Tire 9 <br /> Complaint <br /> Other(Please Specify): El ACCOUNTING <br /> 10 <br /> —BOXED AREA-EHD USE ONLY- <br /> 0 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 IF 209 464-0138 1 wvjw.sjcehd.com <br />