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� SAN JOAQUI �ECEIVED <br /> t o E vironmental Health Department <br /> / —COUNTY— .0 63 2011 WO PUBLIC RECORDS RELEASE APPLICATION <br /> O9r P' Greatness grows her ENVIRONMENTALIHI! t_ f O' 87481 <br /> PEFRmrT/SER GES EHD LOG NUMBER: <br /> APPLICANT: LYNN KINDER BUSINESS/AGENCY: <br /> ADDRESS: 1725 DAVIS LN CITY/STATE/ZIP: RENO, NV 89511 <br /> PHONE (1): 775-240-9201 PHONE (2): FAX OR E-MAIL: <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 PROCESSED VIA PHONE BY STAFF. DOM M DATE NOVEMBER 3,2017 <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 info(a),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. 11� <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 to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT y 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses only, address ranges will not be acce ted <br /> E Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) ®CONSUMER <br /> E Other Cleanup Site(Non-LOP) S 1010 INDUSTRIAL DR STOCKTON 'W/hwUlL <br /> Hazardous Waste <br /> A Daar <br /> E Tiered Permitted Facility 2 <br /> E Aboveground Tank <br /> E UST (Monitoring/Removal) ❑PWS <br /> E Hazardous Materials <br /> E Spill/Release Response <br /> ®WATEa Quum <br /> E Solid Waste Facility/Vehicle 4 <br /> E Food Facility <br /> E Pool/Spa ®SITE MITGATIGN <br /> E Dairy a <br /> E Land Use Application Sites <br /> E Septic Pumper Trick/ 6 ®Houslxc <br /> Yard/Chemical Toilets <br /> E Wastewater Treatment Plant ®CUPA <br /> E Housing Abatement T AST/HM/HW <br /> E Motel/Hotel <br /> E Chicken Ranch/Dog Kennel ®COPA <br /> ® <br /> Medical Waste Facility e UST <br /> E Tattoo/Body Piercing 19 SOLID WASTE <br /> E Waste Tire a <br /> E Complaint <br /> E Other(Please Specify): ®ACDDUNTNG <br /> SEPTIC&WELL PERMITS,OOTSMONG FEES 10 <br /> ­BOXED AREA-EHD USE ONLY*— <br /> ❑ Records provided by Staff-PPR Complete. staff Name: DWILP IVA EHD48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />