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RECEIVED <br /> SANJQAQUIN Environmental Health Department <br /> A } —COUNTY— pA/� p¢PR ��� Z�t1J�NTiJ PUBLIC RECORDS RELEASE A ��L/IrICA}TIION <br /> • Cup2."" CirE0 to e55 9rC P.5 nerE f�NME HEAM V ` �' <br /> fT/8EFiAbE9 EHD LOG NUMBER: H571 <br /> APPLICANT: Elizabeth Hoggatt BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 520 3rd Street CITY/STATE/ZIP: Oakland, CA 94607 <br /> PHONE(1): 510.907.3145 x2114 PHONE(2):510-334-6625 FAX OR E-MAIL: cH 99a�A ,,i, DS aantG r rr+ <br /> Please allow 10 business days7from 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 /> SIGNATURE OF APPLICANT DATE April20,2018 <br /> 1. List un 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)464-0138,mail to the <br /> address indicated below, or email to info(Dsicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the n4ture 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: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( ponly, g p <br /> FILES (Specific addresses address ranges will not be accepted) EHD USE ONLY <br /> ® Underground Tank(UST) Street# Street Name city <br /> Cleanup Site(LOP) p corvsuuER <br /> R% Other Cleanup Site(Non-LOP) ' 405 Edison Street Stockton u LW0 <br /> • �]Hazardous Waste El <br /> DnIRr <br /> 0 Tiered Permitted Facility z Case#0000737 <br /> Aboveground Tank WP kY[NM <br /> ®UST (Monaoring/Removal) 0 PWS <br /> ©Hazardous Materials 3 <br /> ®Spill/Release Response r1 <br /> 171 Solid Waste Facility/Vehicle 4 4I Irb n*ER Ounirtv <br /> Food Facility <br /> Pool I Spa iTE MIFIGNT10N <br /> Dairy 5 <br /> LJ Land Use Application Sites <br /> Septic Pumper Truck 16 ❑HOUSING <br /> Yard I Chemical Toilets <br /> Wastewater Treatment Plant UPA <br /> Housing Abatement 7 AST/HM IHW <br /> Motel/Hotel <br /> Chicken Ranch/Dog Kennel COPA <br /> Medical Waste Facility <br /> 5 UST <br /> ❑Tattoo/Body Piercing <br /> So4o WASTE <br /> ❑Waste Tire 9 <br /> Complaint <br /> Other(Please Specify): p A..U"N. <br /> to <br /> "*BOXED AREA-EHD USE ONLY <br /> • -7`� ili` —rr4 A Nppl w'^V'roi lu6et A PTA . -W k . Ct'. �-e I E'rl4 v <br /> 0 Records provided by Staff-PPR Complete. staff Name: EHo 4a-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 />