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RECEIVED <br /> SAN JOAQUIN Environmental Health Department <br /> Ir IC C-J U N1 T Y PUBLIC RECORDS RELEASE APPLICATION <br /> G, <br /> LTH fn <br /> h f"RONMEW AL I A1 1u <br /> • PEWITISER&ES EHD LOG NUMBER: <br /> APPLICANT: Natalie Vaughan BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 3880 S Bascom Ave, Suite 109 CITY/STATE/ZIP: Oakland, CA 94607 <br /> PHONE(1): 408-550-7600 PHONE (2):925-922-4900 FAX OR E-MAIL: nvaughan4apiennsultants norn <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrpng ,ean appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT NaWle DATE June 21,2018 <br /> 1. List up to ten addresses in the space below. AVdress 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-_)sacehd.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) 11 <br /> Electronic information: El List[I Map—Description: <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL �iao <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES (Specific addresses only, address ranges will not be accepted) EHD USE ONLY <br /> M Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) L_LA CONSUMER <br /> • FX]Other Cleanup Site(Non-LOP) 1 801 East Roth Road French Camp <br /> p Hazardous Waste C v E]DAIRY <br /> [9 Tiered Permitted Facility 2 815 East Roth Road French Camp <br /> F1 Aboveground Tank <br /> LIST (Monitoring/Removal) 837 ki- El PWS <br /> Hazardous Materials3 East Roth Road <br /> P9 Spill/Release Response Y11- French Camr <br /> Solid Waste Facility/Vehicle 4 707 East Roth Road French Camp 12CATER QUALITY <br /> F-1 Food Facility <br /> F]Pool/Spa 5ITE MITIGATION <br /> F1 Dairy 6 11180 Vallejo CtS French Caml) <br /> F1 Land Use Application Sites 1.Iyk <br /> OUSING <br /> Septic Pumper Truck/ 6 <br /> Yard/Chemical Toilets <br /> Wastewater Treatment Plant N(CUPA <br /> ❑Housing Abatement 7 AST/HM/HW <br /> Motel/Hotel <br /> ❑Chicken Ranch/Dog Kennel CUPA <br /> Medical Waste Facility 8 UST <br /> Tattoo/Body Piercing MSOLID WASTE <br /> P9 Waste Tire 9 <br /> ®Complaint <br /> Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> • �O i-ti, -Lt vl� I, (.-'f'��' .4 1n+')-t-ve k J 1a C"I <br /> 4)IDIIr— C(Molniht'# 0002, ff(&'9QM82M� E�;l <br /> 41101iff- kwk:# 8D0pttvvfilt <br /> 0 Records provided by Staff-PPR Complete. staff irl -HWFAe PADSI1- EHD 48-06 <br /> JL1101Ie_ _I CD Plp-oVido. <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />