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RECEIVED <br /> $Q N J Q Q Q (Ni ; 20,8 Environmental Health Department <br /> -COUNT PUBLIC RECORDS RELEASE APPLICATION <br /> LW -AL G� <br /> 011"04EHD LOG NUMBER: 9 <br /> APPLICANT: Andrewsavage BUSINESS/AGENCY:ERAS Environmental,Inc. <br /> ADDRESS: 1533 B Street CITY/STAT EIZI P:Hayward/California/94541 <br /> PHONE(1): 510-247-9885x302 PHONE(2): FAX OR E-MAIL: andrew@eras.biz <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you t �arran a an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT DATE 6-6-18 <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 <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 infoasicehd.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 All <br /> ENVIRONMENTAL DVI) <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES (Specific addresses only,address ranges will not be accepted EHD USE NLlYZ <br /> /� <br /> Q Underground Tank(UST) Street# Street Name City P10"; �Wj_Q A 7� <br /> Cleanup Site(LOP) 7 `,�1 Pl�nS lrl'J�P?___gR>c�MER <br /> DOtherCleanupSite(Non-LOP) ' 1111 Navy Drive Stockton llv`,14v RD �1 lY <br /> • A5i 20 8 93—H m <br /> Q Hazardous Waste i G L 1-1 DAIRY <br /> Q 1240 Tiered Permitted Facility z Navy Drive Stockton [�� <br /> Q Aboveground Tank / S <br /> Q UST (Monitoring/Re ;J 11wW ❑PWS <br /> Q Hazardous Materials <br /> a 1443 Navy Drive Stockton <br /> •Spill/Release Response <br /> ATER QUALITY <br /> Q Solid Waste Facility/Vehicle 4 <br /> F]Food Facility <br /> r]Pool/Spa ITE MITIGATION <br /> Dalry 5 <br /> ❑Land Use Application Sites f <br /> � ❑HOUSING <br /> F]septic Pumper Truck/ 6 I <br /> Yard/Chemical Toilets <br /> Wastewater Treatment Plant CUPA <br /> E]Housing Abatement 7 AST I HM I HW <br /> F1 Motel/Hotel <br /> Chicken Ranch/Dog Kennel UPA <br /> a UST <br /> F]Medical Waste Facility <br /> Tattoo/Body Piercing OLIO WASTE <br /> F1 Waste Tire s <br /> Q Complaint <br /> F]Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> _-- —_ <br /> ' - ***BOXED AREA-EHD USE ONLY*** <br /> • -- I ` 3 5� 51 �r ° pnAaad <br /> • z <br /> ❑ Records provided by Staff-PPR Complete, Staff Name: A IL EHD 48-06 <br /> �Jlz iY—OoMPjoj_ tib#s CODUI4Le03,CDL-p3 3 C0tx')3c.Rc'33,CUWiS(OStP, 11 CO(AZ Ltga3 CUP *iuio(L'ti <br /> 1 68 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br /> }I W File,M651353ta. Crm)}�j(Aint-5 CO da155 3y�CDCol Yyq(of eoL)OI4192 Cb l�10(e T CU(X�U ci(o I �JI bio <br /> Qlv p w icud H W Fie PR p uco fa- I`iy? WVyA.qjr <br />