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D1406KCIYWd SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> JUL 19 201ENVIRONMENTAL HEALTH DEPARTMENT <br /> 7 6G <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTAL NIk*ne: (209)468-3420 Fax: (209)464-0138 Web:www.socehd.com Email: info g).sicehd.com <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> *ZPPLICANT: HILLARY PRINCE BUSINESS/AGENCY: ERM—SACRAMENTO <br /> ADDRESS: 2525 NATOMAS PARK DR,#350 CITY/STATE/ZIP: SACRAMENTO, CA 95833 <br /> PHONE(1): 559-760-9570 PHONE (2): FAX OR E-MAIL: HILLARY.PRINCE@ERM.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 k9C vim, �r,F)l Ljsa `� t{� DATE -I'�9-17 <br /> 1. List up to ten addresses in the space below. Addre ransom— ges will noaccepd. 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 infoOsicehd 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. <br /> Future file reviews by the same applicant may require a$139 deposit prior to review. 7127 <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 /> 7f6 <br /> ONMENTAL FILE ADDRESS <br /> HDEPARTMENT <br /> FILES (Specific addresses only, address ranges will not be accepted) EHD USE ONLY <br /> ® UND TANK(UST) Street# Street Name city <br /> ITE(LOP) ®CONSUMER <br /> 619 GILLIS AVE STOCKTON ^,/� <br /> ANUP SITE(NON-LOP �f WASTE ®DARY <br /> ® MITTED FACILITY 2UND TANK <br /> ®UST (MONITORING/REMOVAL) PWS <br /> ®HAZARDOUS MATERIALS <br /> ®SPILL/RELEASE RESPONSE <br /> ®SOLID WASTE FACILITY/VEHICLE 4 ta WATER QUALITY <br /> ®FOOD FACILITY <br /> ®POOL/SPA ®SITE MMMOATON <br /> ®DAIRY 6 <br /> ®LAND USE APPLICATION SITES 11/Il <br /> ®SEPTIC PUMPER TRUCK/ I�6 HOUSING <br /> YARD/CHEMICAL TOILETS <br /> ®WASTEWATER TREATMENT PLANT 110 CUPA <br /> ®HOUSING ABATEMENT 7 <br /> ®MOTEUHOTEL <br /> ®CHICKEN RANCH/DOG KENNEL 0 CUPA-UST <br /> 6 <br /> ®MEDICAL WASTE FACILITY <br /> ®TATTOG/BODY PIERCING <br /> ®WASTE TIRE 6 ®SOLID WASTE <br /> ®COMPLAINT <br /> ❑OTHER(PLEASE SPECIFY): 11 AOCOUN➢NG <br /> 10 <br /> ""BOXED AREA-EHD USE ONLY- <br /> 7/1912017-APPLICANT EMAILED STATING THEY NEVER RECEIVED THE INITIAL MAILING OF THE CD AND COPIES, <br /> RESUBMITTED REQUEST FOR PROCESSING. Dom M <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: (� <br /> 914M dA-Of. <br />