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RECEIVED <br /> SAN J O A Q U I N JUN 1 i Environmental Health Department <br /> COUNTY - PUBLIC RECORDS RELEASE APPLICATION <br /> • V r r U t i i c (!1'tY- jl ff..i]_Y 1 <br /> IWU � • <br /> 11111 <br /> � SE"BY EMAIL q <br /> EHD LOG NUMBER: <br /> APPLICANT: Dariush Dastmalchi BUSINESS/AGENCY: TMC <br /> ADDRESS: 2415 San Ramon Valley Blvd 4-306 CITY/STATE/ZIP: San Ramon, CA 94583 <br /> PHONE(1): 925-353-3824 PHONE(2): FAX OR E-MAIL: dariushd@trangt.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 apppointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT Dariush Dastmalc}1i DATE 6/20/2018 <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. <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 eD -4 l(.p <br /> HEALTH DEPARTMENT <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> IN Underground Tank(UST) Street# Street Name City <br /> n � � <br /> Cleanup Site(LOP) Trac <br /> [�Other Cleanup Site(Non-LOP) 1 8830 W. Linne Road S"J,HN HCONSUMER <br /> W PROS-0�o w_ ?� <br /> Hazardous Waste 4Z &O S3`7).7,5-f-kh_(� ❑DAIRY <br /> Tiered Permitted Facility 2 8872 W. Linne Road Tray r1 7✓ <br /> �i Aboveground Tank RiA Ab Tc` �S�"�v&`_��T <br /> UST (Monitoring/Removal) ❑PWS <br /> ®Hazardous Materials s <br /> ®Spill I Release Response <br /> WATER QUALITY <br /> Solid Waste Facility I Vehicle 4 <br /> Food Facility <br /> El Pool I Spa TE MITIGATION <br /> ❑Dairy 6 <br /> ❑Land Use Application Sites <br /> ❑HOUSING <br /> Septic Pumper Truck I e <br /> Yard I Chemical Toilets <br /> ®Wastewater Treatment Plant CUPA <br /> Housing Abatement 7 AST I HM I HW <br /> F1 Motel/Hotel <br /> R Chicken Ranch/Dog Kennel CUPA <br /> g UST <br /> F]Medical Waste Facility <br /> F]Tattoo/Body Piercing ❑SOLID WASTE <br /> Waste Tire 9 <br /> Complaint <br /> Other(Please Specify): ❑AccouNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> • t'�.'ZI-IiLr- � ItC. t� � C.'.�-tl�C1; %rcr `i e `�� la n � r,r\ ��- +�L [�; C��,l Ine ��� I�r�-,. �th ]48-06 <br /> 4-CpElRecords provided by Staff-PPR Complete. Staff Name: E <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />