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RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> FEBo 2�9$ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1: (2 East Hazelton Avenue, Stockton, CA b:www.sjgov.org/ehd <br /> •E�Atl't1,�f�� Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd T <br /> PFAlMff/5E4?W= " PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Daniel Cannistraci BUSINESS/AGENCY: <br /> ADDRESS: 1935 Tienda Drive CITY/STATE2IP: Lodi, CA 95242 <br /> PHONE (1): 209-351-2629 PHONE(2): FAXORE-MAIL:danielcannistraci@me.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 ppointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDIT ST- SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT - DATE 2/2/18 <br /> 1. List up to ten addresses in the space belovi-8blect 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: © List ® Map—Description: Percolation Test <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESSFILES EHD USE ONLY <br /> ❑UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) 11019 East Peltier Acampo. Lti 1�AIr,,�S�1.I ,'.(,�� � <br /> ❑OTHER CLEANUP SITE(NON-LOP) Record number: MS99001 �� lM'•'duA0 <br /> ❑HAZARDOUS WASTE n <br /> ❑TIERED PERMITTED FACILITY 2 11D t d/eV 1r <br /> Dnlar <br /> 22620 N. Samra Hoyer Ln. Acampo 11 f <br /> ❑ABOVEGROUND TANK <br /> ❑UST (MONITORING/REMOVAL) PWS <br /> ❑HAZARDOUS MATERIALS G <br /> ❑SPILURELEASE RESPONSE <br /> ❑SOLID WASTE FACILITY/VEHICLE �IIOII�d ATER QUALRY <br /> �! <br /> ❑FOOD FACILITY C4)• &M <br /> M <br /> ❑POOL/SPA ❑SITE MITIGATION <br /> ❑DAIRY 5 <br /> LAND USE APPLICATION SITES <br /> ❑SEPTIC PUMPER TRUCK I °HOUSING <br /> 6 <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTEWATER TREATMENT PLANT CUPA <br /> ❑HOUSING ABATEMENT T ❑ <br /> ❑MOTEUHOTEI <br /> ❑CHICKEN RANCH/DOG KENNEL CUPA-UST <br /> ❑MEDICAL WASTE FACILITY 6 <br /> ❑TATTOO/BODY PIERCING <br /> ❑WASTE TIRE ❑SOLID WASTE <br /> 9 <br /> ❑COMPLAINT <br /> OTHER(PLEASE SPECIFY): ACWUMING <br /> 10 11019 East Peltier Acampo <br /> '"BOXED AREA-EHD USE ONLY" <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 4"6 <br />