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RECEIVED <br /> = SAN JOAQUIN DEC i 1 201? Environmental Health Department <br /> ---- COUNTY-- PUBLIC RECORDS RELEASE APPLICATION <br /> .'IeOlrleis yrctvs hf,d, VIR0NMENTA1FWA.TH ���� <br /> PEi%MIT/SERVICE9 <br /> EHD LOG NUMBER: <br /> APPLICANT: Jane XIao BUSINESS/AGENCY: Partner Engineering and Science, Inc. <br /> ADDRESS: 111 Pine Street, Suite 1750 CITYISTATE/ZIP: San Francisco, CA 94111 <br /> PHONE(1): 415-934-9043 ext. 3357 PHONE(2): 628-233-7258 FAX OR E-MAIL: jxiao@partneresi.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you Parr a ge an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT l/a�nt. �ie- DATE 12/11/2017 <br /> 1. List up to ten addresses in the sl#ce 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 infoAsicehd.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: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 <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> R Underground Tank(UST Street# Street Name City - <br /> Cleanup Site(LOP) iI 'r _D,`-".-''• <br /> [�Other Cleanup Site(Nan-LOP) <br /> 242 North Sutter Street Stockton <br /> • Hazardous Wastew filar -. L]o;ar..: <br /> Tiered Permitted Facility 2 Pn,` <br /> ®Aboveground Tank 228 North Sutter Street Stockton <br /> UST (Monitoring/Removal PWS <br /> 3 <br /> Hazardous Materials 230 North Sutter Street Stockton <br /> Spill/Release Response <br /> Solid Waste Facility/Vehicle A IZ bo r!I <br /> nrEn gaa.nr <br /> 232 North Sutter Street Stockton (iQ <br /> ❑Food Facility <br /> Pool/Spa fef€Mniwnon <br /> ❑Dairy s 234 North Sutter Street Stockton <br /> F1 Land Use Application Sites <br /> Housiea <br /> [�Septic Pumper Truck/ a 236 North Sutter Street Stockton <br /> Yard/Chemical ToiletsX <br /> Wastewater Treatment Plan(( �CCPA <br /> ❑Housing Abatement r 238 North Sutter Street Stockton ASTI HM/HW <br /> ❑Motel/Hotel <br /> F1 Chicken Ranch/Dag Kennel 240 North Sutter Street Stockton <br /> Medical Waste Facility 8 UST <br /> Tattoo/Body Piercing Duo WASTE <br /> ®Waste Tire , 244 North Sutter Street Stockton <br /> ®Complaint <br /> Other(Please Specify): 246 North Sutter Street tOC tOn ❑Accounnec <br /> to <br /> ***BOXED AREA-EHD USE ONLY*** <br /> r <br /> • t7.-lit-l7- C11 G. VA A "Cflek MCQtl PVIA, ren, eAI V',, 4t e . <br /> 0 Records provided by Staff-PPR Complete. Staff Name: exoaa.oa <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sicehd.com <br />