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RECEIVED <br /> SAN J O A Q U I N Environmental Health Department <br /> --COUNTY IAAk 16 2018 PLI LI�RECORDSRELEASEAPPLICATION <br /> • Grecitness Grows hei Efyftfff�11 <br /> F'61bIIT EHD LOG NUMBER: 4447,44 <br /> APPLICANT: Erik Skov BUSINESS/AGENCY:AECOM Technical Services <br /> ADDRESS: 300 Lakeside Drive,Suite 400 CITY/STATE/ZIP:Oakland,CA 94612 <br /> PHONE(1): 415243-3845 PHONE(2): FAX OR E-MAIL: erik.skov@aecom.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 /> SIGNATURE OF APPLICANT Skov, Erik DATE 3n6/201e <br /> 1. List up to ten addresses in the space below. Address rangesWILLNOT 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(d)sicehd.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: Ox List❑ Map—Description: <br /> Specific Date Range of Information Requested: From 1950 to 2018 <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT (Specific y 9 p ) EHD USE ONLY <br /> FILES addresses only,address ran es will not be acce ted <br /> RX Underground Tank(UST) Street# Street Name 4=15ity S <br /> Cleanup Site(LOP) 8 suMea <br /> 2431 E Mari osa Road tockton <br /> • Q Other Cleanup Site(Non-LOP) p <br /> AW <br /> Q Hazardous Waste (..9 , W -�o�a( ❑DNRY <br /> Q Tiered Permitted Facility 2 2373 E Mariposa Road Stockton ' ,+m rbc V j <br /> Q Aboveground Tank n <br /> RX UST (Monitoring/Removal) 1 V 1 I7� <br /> 3 2525 E Mariposa Road Stockton I i mA 1, 00 y 7�g <br /> Q Hazardous Materials ' <br /> Q Spill/Release Response Lr� (� �p,� <br /> El Solid Waste Facility/Vehi q 2969 kw µ1•t f r er7 <br /> �Faod Facility .76.7 Loomis Road Stockton 'rs 4- <br /> Pool <br /> �� - <br /> Pool/SpaAOtt OXIIc ^ n V <br /> Dairy 6 n o of o <br /> Land Use Application Sites <br /> Sepfic Pumper Truck/ ,,p,,(�,, .,,,� (� ❑H�ouz�sinc <br /> ❑ Yard/Chemical Toilets 6 2467 E Mariposa Stockton w`' LVA-exv `SC-4`� (' C) S f <br /> Wastewater Treatment Plant <br /> ❑ T!/� � 1 <br /> CUPA <br /> Housing Abatement r ASTIHM/HW <br /> motel/Hotel G /� N' ( <br /> Ej E]Chicken Ranch I Dog Kennel6 «.Q f / u'1� y,J� (Lf i pflSiai�' OUST <br /> Medical Waste Facility �f <br /> ❑Tattoo/Body Piercing - - - - - -- - Salo Wnsie <br /> Waste Tire g <br /> Complaint <br /> Other(Please Specify): ❑ALCCUMWG <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> to -t Erw4 ( r "vnL(6: n c C% e a l . V n� <br /> • <br /> 7 <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD 4846 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />