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RECEIVED <br /> SAN JOAQUIN AW g3 2017 Environmental Health Department <br /> —COUNTY— PUBLIC RECORDS RELEASE APPLICATION <br /> • qi P' Greatness grows here oNf"�ALMALTH <br /> PEnMIT1mWfW,t;Es 86847 <br /> EHD LOG NUMBER: <br /> APPLICANT: Joshua Osborne BUSINESS/AGENCY: Langan Eng.&Env. Services <br /> ADDRESS: 501 14th St.,Third Floor CITY/STATE/ZIP: Oakland,CA 94612 <br /> PHONE(1): (510)874-7025 PHONE(2): (510)874-7000 FAX OR E-MAIL: losborne@langan.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact ypu truer ange an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT l/ DATE 8/3/2017 <br /> 1. List un 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 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 /> `I 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 6:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map–Description: <br /> Specific Date Range of Information Requested: From January 1940 to Present <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( p y 9 p <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> ®UNDERGROUND TANK(UST) Street# Street Name city <br /> CLEANUP SITE(LOP) 0 CONSDMER <br /> • <br /> OTHER CLEANUP SITE(NON-LOP) 12829 W Washington St. Stockton <br /> HAZARDOUS WASTE <br /> DAIRY <br /> ❑TIERED PERMITTED FACILr1Y 2 <br /> ABOVEGROUND TANK 2835 W Washington St. Stockton <br /> UST (MONITORING/REMOVAL) <br /> C a <br /> Rice Terminals OPM <br /> HAZARDOUS MATERIALS <br /> Port of Stockton Stockton <br /> SPILL/RELEASE RESPONSE <br /> ❑SOLID WASTE FACILITY/VEHICLE 4 ATE QUALITY <br /> ❑FWD FACILI Y 2825 W Washington St. Stockton <br /> ❑POOL/SPA Port of Stockton SITE MITIWTON <br /> ❑DAIRY 5 Rough and Ready Island <br /> ❑ <br /> LAND USE APPLICATION SITES Navy Drive Stockton <br /> ❑SEPTIC PUMPER TRUCK/ 6 C]HOUSING <br /> YARD/CHEMICAL TOILETS 2947 Navy Dr. Stockton <br /> ❑WASTEWATER TREATMENT PLANT tRtUPA <br /> ❑HOUSING ABATEMENT r <br /> E]MOTEUHOTEL 3019 Navy Dr. Stockton <br /> ❑CHICKEN RANCH/DOG KENNEL CUPA-UST <br /> ❑MEDICAL WASTE FACILITY B 3025 Navy Dr. Stockton <br /> ElTATT00/BODY PIERCING <br /> E]WASTE TIRE e ❑SOLID WASTE <br /> ❑COMPLAINT 3015 Navy Dr. Stockton <br /> ❑OTHER(PLEASE SPECIFYJ: ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> • <br /> ❑ Records provided by Staff-PPR Complete. Starr Name: <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />