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SAN J OA Q U I N RECEIVEDronmental Health Department <br />— COUNTY PUBLI� RECORDS RELEASE APPLICATION <br />C <br />vreOtrlpi5 grOV,'S her,;. b � <br />E.''� RONfillENTAL HE " I b A.M (/ .`�/j <br />EHD LOG NUMBER: <br />APPLICANT: Elizabeth Scudero BUSINESS/AGENCY: AEI Consultants <br />ADDRESS: 520 3rd Street CITY/STATE/ZIP: Oakland, CA 94607 <br />PHONE (1): 510.907.3145 x2109 PHONE (2): 510-681-7818 FAX OR E-MAIL: ...urtarnnaaiconguitantc 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 apoi.rftg, date and time to review the requested records. <br />SIGNATURE OF APPLICANT Elizabeth SCuderO °m:f u`e`;Pv_."° DATE May 15, 2018 <br />1. List up to ten addresses in the space below. Ad i&ess 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)slcehd.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 <br />HEALTH DEPARTMENT <br />FILES <br />(Specific addresses <br />FILE ADDRESS <br />only, address ranges will not be accepted) <br />Street Name City <br />EHD USE ONLY <br />M Underground Tank (UST) <br />Street # <br />Cleanup Site (LOP) <br />R Other Cleanup Site (Non -LOP) <br />Hazardous <br />Hazardous Waste <br />' <br />100 <br />Valpico Road <br />t , T t <br />Tracy "— ("� <br />❑ CONSUMER <br />2 <br />ST- <br />VWV OST- <br />;It +ILJ <br />❑DAIRY <br />x❑ Tiered Permitted Facility <br />z <br />75 <br />Valpico Road <br />Tracy <br />Aboveground Tank <br />CCU <br />3 <br />❑ PWS <br />® UST (Monitoring / Removal) <br />© Hazardous Materials <br />Release case records only <br />® Spill / Release Response <br />Il Solid Waste Facility / Vehicle <br />Case #694 <br />4 <br />WATER QUALITY <br />F] Food Facility <br />SITE MITIGATION <br />Pool / Spa <br />F] Dairy <br />5 <br />All records on -file, <br />Land Use Application Sites <br />® Septic Pumper Truck / <br />including two <br />closed LUST <br />6 <br />V ouslNG <br />Yard / Chemical Toilets <br />© Wastewater Treatment Plant <br />❑ Housing Abatement <br />cases: #14231 and <br />#142323 <br />7 <br />tgw' <br />AST/HMIHW <br />® Motel/Hotel <br />F1 Chicken Ranch / Dog Kennel <br />r] Medical Waste Facility <br />8 <br />�UPA <br />UST <br />Tattoo/Body Piercing <br />SOLID WASTE <br />® Waste Tire <br />9 <br />® Complaint <br />❑ ACCOUNTING <br />F] Other (Please Specify): <br />io <br />***BO�X,nnE/D� AREA - EHD USE ONLY*** <br />j.- IT3 0 GT yt a' 1�� ✓� N`�1 �n 1 L tt�g . v�L v IG\ <br />-I v UakiLAU46 <br />❑ Records provided by Staff -PPR Complete. Staff Name: 413-06 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sjcehd.com <br />