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SAN JOA U I N E ' l EPronmental Health Department <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> OU N T Y-- ,.i <br /> j,*I � 1 t Q,/� <br /> EfJ-VIi�.t:}I+�YiP:e�ThLF�. W -� EHD LOG (NUMBER: <br /> APPLICANT: Elizabeth Scudero BUSINESSIAGENCY: AEI Consultants <br /> ADDRESS: 520 3rd Street CITYISTATEIZIP: Oakland, CA 94607 <br /> PHONE(1): 510.907.3145 x2109 PHONE(2):510-681-7818 FAX OR E-MAIL: acr,rlArn a�irnnsiiltantc rnrn <br /> Please allow 10 business days from date of application submittal for the records to be availabl. <br /> Staff will contact you to arrange an alp <br /> oir�tpL <br /> � date and time to review the requested records, <br /> SIGNATURE OF APPLICANT Elizabeth ScuderO -` DATE May 15,2018 <br /> 1. List up to ten addresses in the space below. Ad -ess 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 infoRsicehd.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 nQmber 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-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL FILE ADDRESS / t ' <br /> HEALTH DEPARTMENT ( la y 9 accepted) EHD USE ONLY <br /> FILES S ecsfic addresses onl address ranges wall not be acce ted <br /> In Underground Tank(UST) Street# Street Name - city <br /> Cleanup Site(LOP) - � ( � 1 <br /> ❑x Other CleanupSite(Non-LOP) ° 100 VaIp1CO Road TraCy� G� ,CD U0-rC00 <br /> Hazardous Waste r1 LJ' IN�T_f7jej-Z <br /> Q Tiered Permitted Facility � 2 75 va)pICo Road Tracy �t <br /> 0 Aboveground Tank N a <br /> PWS <br /> UST (Monitoring I RemovRemoval) ❑ <br /> 3 Release case records only <br /> I�Hazardous Materials <br /> ®Spill 1 Release Response Case #694 UVATER QJALITY <br /> ]Solid Waste Facility 1 Vehicle 4 <br /> ❑Food Facility <br /> SiTr MiTicnnoN <br /> ❑Pool I Spa <br /> ❑Dairy 5 All records on-file, <br /> r]Land Use Application Sites including two 24H USING <br /> Septic Pumper Truck 1 6 closed LUST <br /> Yard I Chemical Toilets �I <br /> ©Wastewater Treatment Plant �aSne�fS. #1t1*+231 and CUPA <br /> ❑Housing Abatement 7 #142323 AST l HM l HW <br /> ® MotellHotel <br /> 1-1 Chicken Ranch i Dog Kennel [ UPA <br /> g UST <br /> I9 Medical Waste Facility <br /> ❑Tattoo/Body Piercing (SOLID WASTE <br /> ®Waste Tire g <br /> ®Complaint <br /> F]Other(Please Specify): 0 ACCOUNTING <br /> 10 <br /> +� <br /> ***BOXED c �,LG1'ED AREA-EHD USE ONLY`** /� <br /> 0-l moi' YJ" 4 l Ytil�� C(J►14-t e Q3?0 a pa <br /> `m W � +1� t T 2`�( a <br /> frD 02M <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD48-OG <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />