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RECEIVED <br /> SANdOAQUIN Environmental Health Department <br /> --COUNTY— MAR 16 2018 PUBLIC RECORDS RELEASE APPLICATION <br /> • iIFO '' Greotnes5 Crows he' EWRO 4` •4 <br /> DIEM L <br /> EHD LOG NUMBER: 2 <br /> — <br /> APPLICANT: Erik Skov BUSINESS/AGENCY:AECOM Technical Services <br /> ADDRESS: 300 Lakeside Drive,Suite 400 CITY/STATE/ZIP:Oakland,CA 94612 <br /> PHONE(1): 415243-3845 PHONE (2): FAX OR E-MAIL: erik.skov@aecom.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 Skov, Erik DATE 3/16/2018 <br /> 1. List up 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 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-5:00PM (EXCLUDING HOLIDAYS) l� <br /> Electronic Information: ❑X List❑ Map—Description: <br /> Specific Date Range of Information Requested: From 1950 to 2018 <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( p y 9 p ) EHD USE ONLY <br /> FILES (Specific addresses only,address ran es will not be acce ted <br /> ❑X Underground Tank(UST) Street# Street Name city <br /> Cleanup She(LOP) q ❑CONSUMER <br /> 2431 E Mariposa Road Stockton <br /> • Q Other Cleanup Site(Nan-LOP) t+ <br /> ❑X Hazardous Waste DAIRY <br /> ❑X Tiered Permitted Facility 2 2373 E Mariposa Road Stocktonuof <br /> Q Aboveground Tank <br /> Q UST (Monhonng/Removal) W t ❑PWS <br /> Q Hazardous Materials 3 2525 E Mariposa Road Stockton <br /> ❑X Spill/Release Response <br /> HXi, WATER QUALITY <br /> ❑ lid Facility <br /> Facility/Vehicle 4 2969 Loomis Road Stockton <br /> Fo , w►° <br /> 1t $ITE Mm.1_.0 <br /> ❑Pool l Spa `NIM1A�C. <br /> ❑Dairy a 2373 Mariposa Road Stockton <br /> ❑Land Use Application Sites <br /> ❑Septic Pumper Truck/ AIA ❑HonslNc <br /> 2467 E Mariposa Stockton <br /> Yard I Chemical Toilets <br /> ❑Wastewater Treatment Plant <br /> CUPA <br /> ❑Housing Abatement 7 ASTIRM IHW <br /> ❑MotellHotel <br /> ❑Chicken Ranch/Dog Kennel CUPA <br /> 8 UST <br /> ❑Medical Waste Facility <br /> ❑Tattoo/Body Piercing ❑S.UG WASTR <br /> ❑Waste Tire 9 <br /> ❑Complaint <br /> ❑Other(Please Specify): ❑ACCCVNUNG <br /> tg <br /> —BOXED AREA-EHD USE ONLY*"* <br /> • Ly,n ot ;ti c'n ",e .v <br /> IN <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD 4'SIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />