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r r w �.. ■ . �rr. f �q <br />DATE RECEIVED 1��ri1 IQ SAN JOAQUIN COUNTY EHD LOG NUMBER <br />LN L 11 6111 0ry4Aef �QM ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 S 6 5 3 6 <br />� TAk�: (209) 468-3420 Fax: (209) 464-0138 Web: www.sicehd,com Email: infoc@sjcehd.com <br />PERMIITIS"C S PUBLIC RECORDS RELEASE APPLICATION <br />OPPLICANT <br />ADDRESS: <br />PHONE (1): <br />Paul Parker <br />10356 N Country Rd 950 E <br />BUSINESS/AGENCY: Hopf Environmental <br />CITYISTATEIZIP: Brownsburg, IN 46112 <br />317-677-2960 PHONE (2): FAX OR E-MAIL: parker@envirohopf.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 REQUEST - $139 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT Processed via email by staff. Dom M DATE June 21, 2017 <br />1. List up to ten addresses in the space below. Address ranges will not be accepted. Select the type(s) of files from the list <br />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 above or email to info s`cehd.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 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. (91Aj <br />Future file reviews by the same applicant may require a $139 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 (p y 9 p ) EHD USE ONLY <br />I <br />FILES <br />S ecific addresses <br />onl address ran es will not <br />be acce ked <br />UNDERGROUND TANK (UST) <br />Street # <br />Street Name <br />City <br />192 <br />Lathrop Rd <br />Lathrop n� <br />ElCONSUMERt <br />'Ilyryilly�rJY^'YQlY 1yY/ (V/1'J;L/JyJ <br />CLEANUP SITE {LOP} <br />OTHER CLEANUP SITE (NON -LOP) <br />C" <br />® HAZARDOUS WASTE <br />1 <br />❑ DAIRY <br />® TIERED PERMITTED FACILITY <br />2 <br />14000 <br />IJ <br />E Hwy 88 <br />Lockeford <br />�" - <br />® ABOVEGROUND TANK <br />g <br />I pi ❑PWS <br />UST (MONITOR NG I REMOVAL) <br />HAZARDOUS MATERIALS <br />s <br />1434 <br />W Yosemite Ave <br />Manteca <br />/'y ( / <br />1'TV14 <br />��II JJJJ I - 1 <br />SPILURELEASE RESPONSE <br />SOLID WASTE FACILITY I VEHICLE <br />4 <br />t �� <br />���/ � <br />�• <br />®WATER QUALE"4'Y <br />F1 FOOD FACILITY <br />M <br />_ <br />SITE MIt1GATIQN <br />I1 POOL /SPA <br />Fj DAIRY <br />'n 'j j �,, SIJL <br />c .,` <br />yr o4 <br />® LAND USE APPLICATION SITES <br />1 <br />VJ P1 1 �^ <br />��7 <br />HOUSING <br />Elw}�.�-j� <br />SEPTIC PJM PER TRUCK <br />B <br />1 { <br />YARD 1 CHEMICAL TOILETS <br />F1 WASTEWATER TREATMENT PLANT <br />Ca I U 1. <br />❑ HOUSING ABATEMENT <br />11 T <br />1n�®COPA <br />❑ MOTELIHOTEL <br />, <br />® CUPA - UST <br />CHICKEN RANCH I DOG KENNEL <br />MEDICAL WASTE FACILITY <br />rl TATTOO/BODY PIERCING <br />SOLID WASTE <br />❑ WASTE TIRE <br />9 <br />® COMPLAINT <br />ACCOUNTING <br />F-1 OTHER(PLEASE SPECIFY): <br />1Q <br />***BOXED AREA - EHD USE ONLY"'* <br />-7 <br />6/2112017 — Emailed applicant to confirm receipt of application. Dom M <br />0 Records provided by Staff -PPR Complete. staff Name: <br />