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RECEIVED <br /> S A N J OAQ U I NEnvironmental Health Department <br /> COUNTY UV 0 '1" 2017 (`�%�' FUBLIC RECORDS RELEASE APPLICATION <br /> EkMRONMEWAL F?gr' <br /> • PEIW1T/5EWCES EHD LOG NUIMBEIR: G7471 <br /> APPLICANT: Karin Hagan BUSINESSIAGENCY: Kleinfelder <br /> ADDRESS: 2280 Market Street, Suite 300 CITYISTATEIZIP: Riverside, CA 92501 <br /> PHONE (1): 703-509-5941 PHONE(2): FAX OR E-MAIL: khagan _kleinfelder.com <br /> Please allow 10 busi ess days f om date of application submittal for the records to be available. <br /> Staff will contact ou to arr a an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT DATE 1112117 <br /> 1. List u to ten addresses in ace. [ Address ranges WILL NOT be accepted. Select the type(s) of files from the <br /> list below by checking the propriate b x(es). At least one file type MUST be selected. Fax to(209)464-0138, mail to the <br /> address indicated below email to info 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. t� r <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) 13 <br /> Electronic Information: X❑ List © Map —Description: Any <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT (Specific addresses only,address ranges will not be accepted) EHD USE ONLYFILES <br /> ®underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) g COMSU41ER <br /> 1 3028 Navy Drive Stockton C / <br /> ®Other Cleanup Site(Nan-LOP <br /> ®Hazardous Waste i DAIRY <br /> ®Tiered Permitted Facility z <br /> ®Aboveground Tank <br /> ® PWS <br /> UST (Monitoring IFRemoval) ❑ <br /> ®Hazardous Materials <br /> ®Spill I Release Response WATER Ql ALIT <br /> ® <br /> Solid Waste Facility!Vehicle 4 ` <br /> Food Facility C, — <br /> Pool I Spa SITE MITIGATION <br /> Dairy 5 �� /- <br /> ®Land Use Application Sites i❑HOUSING <br /> ®Septic Pumper Truck <br /> Yard!Chemica4 Toilett s cou <br /> L/L/ 39 <br /> (/ <br /> ®Wastewater Treatment Plan! LOON <br /> CUPA <br /> Housing Abatement 7 l3 / rl, <br /> AST I HM l HW <br /> Motel/Hotel <br /> ❑Chicken Ranch I Dog Kennel CUPA <br /> g f UST <br /> E]Medical Waste Facility <br /> Fj TatloolBody Piercing I, ouo wtisTe <br /> Waste Tire g <br /> ®Complaint <br /> lJ other(Please Specify): []ACCOUNTING <br /> 10 <br /> ­131 AREA-EHD USE ONLY— <br /> L,p®0 4 P <br /> ., Vim <br /> ❑ Records provided by Staff-PPR Complete. star(Name: EH In 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 2}09 468-3420 { IF 209 464-0138 Si cehd.com UfO��(I /_ / <br /> .- l Ci 1 r G��'Q G'Y1 C-60 �� <br />