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RECEIVED <br /> SAN JOAQUIN a <br /> Environmental Health Department <br /> -----COU NTY � ! �� PUBLIC RECORDS RELEASE APPLICATION <br /> Greatness grows her.f2+11iitP*0NMEWiALHeM3ii <br /> • PEPIMITIS�'e�l��,ES EHD LOG NUMBER: q04:5 <br /> APPLICANT: Natalie Vaughan BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 3880 S Bascom Ave, Suite 109 CITY/STATE/ZIP: Oakland, CA 94607 <br /> PHONE(1): 408-550-7600 PHONE(2):925-922-4900 FAX OR E-MAIL: nvaughanAaPironsldtants rnm <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrpne/an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT Na�G��IG� V�(��VC01 DATE June 21,2018 <br /> 1. List up to ten addresses in the space below. A dress 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(d)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. l0 <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 all to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT p y 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses only,address ranges will not be acce ted <br /> ®underground Tank(UST) Street# Street Name y city <br /> Cleanup Site(LOP) IrLA' ❑CONSUMER <br /> Q Other Cleanup Site(Non-LOP) 1 801 East Roth Road French Camp 60 <br /> • ©Hazardous Waste L 4 ❑DAIRY <br /> Q Tiered Permitted Facility 2 815 East Roth Road French Caml) <br /> [x]Aboveground Tank <br /> ®UST (Monitoring/Removal) 837 �,T,ItM,i� ✓ El`WS <br /> Hazardous Materials 3 East Roth Road <br /> ®Spill/Release Response French Cam <br /> l <br /> Solid Waste Facility/Vehicle 4 707 East Roth Road French Cam P�LW pct_ 0b ATER QUALITY <br /> Food Facility NUJ L-LA <br /> ❑Pool/Spa + {.��� 1E MITON <br /> Dairy 5 11180 Vallejo Ct S French Cam <br /> Land Use Application Sites — L <br /> ®Septic Pumper Truck/ 19 ouslNc <br /> s <br /> Yard/Chemical Toilets <br /> ®Wastewater Treatment Plant CUPA <br /> ❑Housing Abatement 7 AST/HM I HW <br /> ® Motel/Hotel <br /> Chicken Ranch/Dog Kennel CUPA <br /> 8 UST <br /> �] Medical Waste Facility <br /> ❑Tattoo/Body Piercing MSOUID WASTE <br /> ®Waste Tire 9 <br /> ®Complaint <br /> ❑Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> —BOXED AREA-EHD USE ONLY*** <br /> • �O-zl-14b`L= � _ f�.ta ^-�r I.� � ''' `!-i '.� ,�r f-+eJ+u� °1 c+n t.K.1M+. i �- <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD48-os <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />