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VAN J OA Q U IN RECEIVronmental Health Department <br /> --COU N T Y----- PUBLIY RECORDS RELEASE APPLICATION <br /> MAY 1 <br /> reorness grew; hC' pwd ('� <br /> EHD LOG NUMBER: <br /> 57137 <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: esrlidLernnaPirnnsiiltants rrnn <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 qp of0, rlt date and time to review the requested records. <br /> SIGNATURE OF APPLICANT Elizabeth SCUd2r0 DATE May 15,2018 <br /> 1. List up to ten addresses in the space below. Ad res`s 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(aJ)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: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL FILE ADDRESS 1�> VLZ <br /> HEALTH DEPARTMENT y 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses only,address ranges will not be acce ted <br /> ®Underground Tank(UST) Street# Street Name city <br /> Cleanup Site(LOP) ��IJL ❑CONSUMER <br /> • FX Other Cleanup Site(Non-LOP) 1 100 Valpico Road Tracy <br /> ©Hazardous Waste 71LI ❑DAIRY <br /> Tiered Permitted Facility 2 75 Valpico Road Tracy <br /> Aboveground Tank no 5 w <br /> ®UST (Monitoring/Removal) ❑PWS <br /> ©Hazardous Materials ' Release case records only <br /> F1 Spill/Release Response Case #694 <br /> WATER QunuTv <br /> I]Solid Waste Facility/Vehicle q <br /> F] Food Facility 1-1 <br /> Pool/Spa SITE MITIGATION <br /> Dairy 5 All records on-file, <br /> Land Use Application Sites including two® 2H�Septic Pumper Truck/ OUSING <br /> 6 closed LUST <br /> Yard/Chemical Toilets <br /> ©Wastewater Treatment Plant cases: #14231 and CUPA <br /> Housing Abatement 7 1#142323 AST/HM/HW <br /> ®Motel/Hotel <br /> Chicken Ranch/Dog Kennel p2`UPA <br /> Medical Waste Facility 6 UST <br /> Tattoo/Body Piercing SOLID WASTE <br /> ®Waste Tire 9 <br /> ©Complaint <br /> F]Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> —BOXED AREA-EHD USE ONLY— <br /> • ,-M (a�T)A7 , ��,1 can i(e(. <br /> -I V< i <br /> TT COm <br /> ❑ Records provided by Staff-PPR Complete. staff Name: # (Apo 5 "A l 4e-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sjcehd.com <br />