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fmg:Daniela H' an dJa �:kfi3y,7 $y4 To: Fax: +1 (209)464013E Pag= 1 0( 1 07/20/2076 9:5_Aid <br /> p DATE REE ERT [8^.•AA FFdd°" EHD LOG NUMBER <br /> I <br /> SAN JOAQUIN COUNTY <br /> ree JUL 2 Q 2016 ENVIRONMENTAL HEALTH DEPARTMENT <br /> [�� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 (��f <br /> EWRONC9ENTALI,"'° .hone: (209) 468-3420 Fax: (209) 464-0138 Web: wvvw.sigov.org/ehd <br /> Adlk tcER4WSERACES PUBLIC RECORDS RELEASE APPLICATION <br /> PLICANT: Daniela Hamann-NazarOff BUSINESS/AGENCY: RinCOrt Consultants 1r1C <br /> ADDRESS: 44915th Street #303 CITY/STATEfZIP: Oakland CA 94612 <br /> PHONE(1): 5.1017-2625 PHONE(2): FAX OR E-MAIL: dhnazaroff@rinconconsultants.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUESTn--$�1 °�FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT etach(ri. 7iZb Av'� DATE 7/20/16 <br /> 1. List up to.ten addresses In the space below. Selectthe type(s) of files from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in Identifying the nature and content of EHD records, please contact EHD at the number noted above. <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$130 deposit prior to.review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> Electronic information: ❑ List ❑ Map—Description: <br /> Specific Date Range of Information Requested: From 1900 to Present <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS EHD USE ONLY <br /> FILES <br /> Q UNDERGKMNDTANK(UST) Street# Street Name City <br /> Cl CONSUMER <br /> CLEANUP SITE(LOP) <br /> t 941 E Yosemite Avenue Manteca,CA 1' <br /> OTHER CLEANUP SfiE(NDN-LOP) P� � Jf`Cj <br /> F1 HAZARDOUS WASTE DAIRY <br /> ❑TIERED PERMITTED FACILITY E <br /> ❑ABOVEGROUND TANK I C]P <br /> xO UST (MONITORING/REMOVAL) (� <br /> Q <br /> HAZARDOUS MATERIALS <br /> ®SPILURELEASE RESPONSE OJCM ffw.ME QUAITY <br /> ❑SDLID WASTE FACILRY/VEHICLE p ' -I<Ai <br /> FooD FAclutt 7r V <br /> SITE MITIGATION <br /> PODLI SPA / <br /> 6 <br /> DAIRY <br /> ❑LAND USE APPLICATION SITES - C]HOUSING <br /> SmTIC PUMPER TRUCK/ B <br /> YARD/CHEMICAL TOILETS <br /> 13'CUPA <br /> ❑WASTEWATER TREATMENT PLANT <br /> HOUSING ABATEMENT T <br /> n MOTEUHOTEL CUPA- U(sT <br /> ❑CHICKEN RANCH/DDG KENNEL " -- <br /> e <br /> MEDICAL WASTE FACILITY <br /> M 7ATT00190DY PIERCING 0 S.UD W AsM <br /> WASTE TIaE 9 <br /> ®COMPLAIN <br /> A W OUMING <br /> OTHER(PLEASE SPECIFY): <br /> 10 <br /> ""BOXED AREA-EHD USE ONLY'TM <br /> I 1 Recordg provided by Staff-PPR Comnlete. Staff Name: <br /> Received lime=Ju1.:20, =2016= 9:51AMNoNo. 0995 <br /> F <br />