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F SAN„JOAQUIN RECEIVE <br /> ronmental Health Department <br /> —COUNTY— MAY 15 201$ PUBLIC RECORDS RELEASE APPLICATION <br /> • Greufoess afow5 hcr. <br /> E.�rMRONt;�EttETiILFfCAtTid EHD LOG NUMBER: b I 7LP <br /> APPLICANT: Elizabeth SOudero BUSINESSIAGENCY: AEI Consultants <br /> ADDRESS: 520 3rd Street CITYISTATEIZIP: Oakland, CA 94607 <br /> PHONE(1): 510.907.3145 x2109 PHONE(2):510-681-7818 FAX OR E-MAIL: ...urger aneicnnsidtantc ram <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 gpgpir�tLr`gtldate and time to review the requested records. <br /> SIGNATURE OF APPLICANT Elizabeth ScuderODATE May 15,2018 <br /> 1. List up to ten addresses in the space below. Aclres- 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(cDsicehd.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 all to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT y 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses only,address ranges will not be acce ted <br /> ®underground Tank(U/ST) Street# Street Name city <br /> Cleanup Site(LOP)vv r ❑Corvsuuea <br /> RX Other Cleanup Site(Non-LOP) 100 Valpico Road Tracy <br /> • Hazardous Waste W”' Jr , D DAIRY <br /> Q Tered Permitted Facility 2 75 Vatpico Road 'Tracy W� <br /> Aboveground Tank <br /> ®UST (Monitoring I Removal) 0 PWS <br /> ©Hazardous Materials a Release case records only <br /> ®Spill Release Response Case #694 p` <br /> Solid Waste Facility/Vehicle 5I'G'L I V ,n WArea quoin <br /> C <br /> ❑Food Facility <br /> ❑Pool I Spa SITE MITIGATION <br /> ❑Dairy _ 5 All records on-file, <br /> Land Use Application Sites lv including two <br /> ouswc <br /> ®Septic Pumper Truck/ a closed LUST <br /> Yard/Chemical Toilets,v �((• <br /> ®Wastewater Treatment Plant -e cases: #14231 and COPA <br /> ❑Housing Abatement r #142323 AST I HM I HW <br /> ®Motel/Hotel <br /> ❑Chicken Ranch/Dog Kennel Q'EuPA <br /> Medical Waste Facility 8 UST <br /> ❑Tattoo/aody Piercing Souo WASTE <br /> ®Waste Tire L, 9 <br /> ®Complaint �' l <br /> ❑Other(Please Specify): ❑ALCAUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> • 7-Iti- Ery ke Ct;.�C feC'0 8t- (erA X e.�o an e{ ( r&-, <br /> ❑ Records provided by Staff-PPR Complete. staff Name: FHD as-oe <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />