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RECEIVED <br /> SANJOAQUINa <br /> Environmental Health Department <br /> ------COUNT Y <br /> 11JN 18 2018 PUBLIC RECORDS RELEASE APPLICATION <br /> G r o r n e s aro r s F,• r' ,E'WP4NMEW3AL Hi".M3+ll <br /> • <br /> PErINI SCM, ' EHD LOG NUIVIBEIR'�Y' 9 <br /> APPLICANT: Jane Xiao BUSINESS/AGENCY: Partner Engineering and Science, Inc. <br /> ADDRESS: 111 Pine Street, Suite 1750 CITY/STATE/ZIP: San Francisco, CA 94111 <br /> PHONE(1): 415-934-9043 ext. 3357 PHONE(2): 628-233-7258 FAX OR E-MAIL: jxiaop_partneresi.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 (i , o "i/Av DATE June 14, 2018 <br /> 1. List up to ten addresses in the sp"ace 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(a)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 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 (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> FILES <br /> ®Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) G!)�t Ham• . coolt4 ` �r77 ❑CONSUMER <br /> • ®Other Cleanup Site(Non-LOP) <br /> 1 5606 Pacific Avenue Stockton Pao-OSLli"D ` as sor <br /> Hazardous Waste DAIRY <br /> C� S �Nrti LD ��v� —�A �� ❑ <br /> ®Tiered Permitted Facility 2 <br /> ®Aboveground Tank 5756 Pacific Avenue Stockton n,,W S)L"7Sgk -) �0 <br /> ®UST (Monitoring/Removal) /— ,`99�� I(.�� n 5�l���t 1 1v W t Z0CVV7�5"-'"\� ? ❑PWS <br /> Hazardous Materials �f i� ____ff,✓� AD9_1 <br /> ,r G <br /> ®Spill/Release Response ATER QUALITY <br /> ®Solid Waste Facility/vehicle 4 <br /> Food Facility <br /> Pool/Spa SITE MITIGATION <br /> Dairy <br /> 5 <br /> ®Land Use Application Sites HOUSING <br /> Septic Pumper Truck/ 6 <br /> Yard/Chemical Toilets <br /> Q Wastewater Treatment Plant CUPA <br /> Housing Abatement 7 AST I HM/HW <br /> F1 Motel/Hotel <br /> CUPA <br /> F]Chicken Ranch/Dog Kennel <br /> g UST <br /> Medical Waste Facility <br /> F]Tattoo/Body Piercing SOLID WASTE <br /> ®Waste Tire 9 <br /> ®Complaint <br /> Other(Please specify): ❑AccouNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD4s-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />