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4 4 yk, Tr.' 7—, <br />L,7„, LL: 147 trt= <br />AG-ket <br />milm" <br />END LOG NUMBER: (aS374:7 <br />Gr•?CitrleSS h e r ahn <br />Environmerb Health Department 0 `2 2018 PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Eric Ehlers BUSINESS/AGENCY: AKT Peerless <br /> <br />ADDRESS: 1761 Arlington Blvd CITY/STATE/ZIP: El Cerrito, CA 94530 <br />PHONE (1): 510-529-9555 PHONE (2): FAX OR E-MAIL: ehlerse@aktpeerless.com <br /> <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 Eric Ehlers .9.4 .7.14 Ent Eiden <br />D. MB OS CD IC. 90 PM DATE 5/2/2018 <br />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 infoRsicehd.com. Applications received after 3:00 pm will be processed the next <br />business day. <br />For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <br />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 />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 8:00AM-5:00PM (EXCLUDING HOLIDAYS) <br />Electronic Information: List 0 Map — Description: All files <br />Specific Date Range of Information Requested: From <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILES <br />FILE ADDRESS <br />(Specific addresses only, address ranges will not be accepted) EHD USE ONLY <br />..- Ea Underground Tank (UST) <br />Cleanup Site (LOP) <br />Street # Street Name City <br />1 14900 <br />. W. Highway 12 ,-tt,44.,9,-cvl <br />f...0.., p,....t,4,,i0,,,, <br />L <br />14:0 . <br />Ei DONSUMER <br /> - iokA. ,- <br />mi Other Cleanup Site (Non-LOP) <br />2 14850 <br />El Hazardous Waste <br />W Highway 12 Lodi <br />DAIRY <br />1() . Ve-c 0 '''l "Y Ea Tiered Permitted Facility <br />Ea Aboveground Tank <br />3 14980 W. Highway 12 Lodi '451/161 I d 0 PWS El UST (Monitoring / Removal) <br />Ea Hazardous Materials <br />Ea Spill / Release Response <br />4 14820 IN . Highway 12 Lodi <br />rg<ATER QUALITY <br />El Solid Waste Facility/Vehicle <br />El Food Facility <br />5 14440 W Highway 12 <br />, <br />Lodi <br />L 0 ErSITE MITIGATION Ea Pool / Spa <br />a Dairy <br />Ea Land Use Application Sites <br />6 <br />ISKOUSING Ea Septic Pumper Truck / <br />Yard / Chemical Toilets <br />in Wastewater Treatment Plant <br />7 <br />i: <br />EffeuPA <br />AST / HM / HW il Housing Abatement <br />Ea Motel/Hotel <br />8 <br />Efl-u PA ic <br />UST <br />,-- <br />Ei Chicken Ranch / Dog Kennel <br />El Medical Waste Facility <br />Tattoo/Body Piercing <br />9 <br />'SOLID WASTE <br />El Waste Tire <br />El Complaint <br />1. Other (Please Specify): <br />10 <br />c p ACCOUNTING <br />***BOXED AREA - END USE ONLY*** <br />q.--.5 - It()) - E'A-6•11 O. AN) 1.0"-{41se-,:j s'Ci .C., 1)3t. 0 t- PION . ;644): rsa 64-- (ke..14:A.,, cA / 1 S,. t-,e. tioN):— 4:if E'L. , 1,2=,,, v, i.t — <br />ii k .J 1 <br />0 Records provided by Staff-PPR Complete. staff Name: EHD 48-06 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I 1 209 468-3420 I F 209 464-0138 I www.sjcehd.com <br />to