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R1r.DEIVE <br /> SAN 10 A Q U I NE6 2z Zola Environmental Health Department <br /> COUNTY PUBLIC RECORDS RELEASE AP LICATION <br /> EWPX wl -u 2 ; Qf) <br /> P�ivrauttr�5 i �M11•BY EMAIL <br /> ZZ EHD LOO NUMBER: 1�1301 <br /> APPLICANT: Paul Robinson BUSINESSIAGENCY:Priority One Environmental <br /> ADDRESS: 19520 Ventura Blvd,#260, CITYISTATEI,ZIP:Tarzana,CA 91355 <br /> PHONE(1): 800-704-4193 PHONE(2):(Fax)800-704-4193 FAX OR E-MAIL: prioritylenvironmental@gmail.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 appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT Paul Robinson <br /> ..-. _.. _....... , .. DATE 2122;20181. 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 infoftsicehd.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 1980 to 2010 �q <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> (Specific addresses oniy, address ranges will not be accepted) <br /> ED U EI-ONLY <br /> LY <br /> x❑Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) 1 Io U� ❑CnNsu <br /> Other Cleanup Site(Non-LOP) � gra <br /> 5112 Scotts Creek v rave Stockton • n <br /> ��C/��r. <br /> Q Hazardous Waste U E]DmRy <br /> Tiered Permitted Facility 2 1018 East March 1 n 1 y`'� � [}/ �y(� <br /> ®Aboveground Tank lUd Li .01 D, <br /> FXI UST (Monitoring I Removal) ` NO ❑PtvS <br /> 10 <br /> ®Hazardous Materials 3 8654 Thornton Ro Stockton Av©�a�5� �A <br /> Spill 1 Release Response y p <br /> 'tkS` TER QUALITY <br /> Solid Waste Facility lVehicle 4 8700 Thornton Road Sto+ckifoln 1411�l�� <br /> Food Facility t�.r. lV <br /> ❑ Pool I Spa tAeA, kwt'P' %&�k L4X07 0 21, TE MITIGAT,oN <br /> Dairy 5 8505 Thornton Road Stockton <br /> Land Use Application Sites L-o <br /> Septic Pumper Truck 1 C; Road ockton <br /> rA l({W(��'4 II-0, T! – — ❑Ho <br /> YardlChemicalToileks s 8709 Davis ' <br /> Wastewater Treatment Plant l leiLk rCUPA <br /> �HousingAbakerront 7 3300 N, EI Dorado Street Stockton U "�~ <br /> MotellHotel A 0 <br /> Chicken Ranch 1 Dog Kennel CUPA <br /> 8 <br /> Medical Waste Facility UST <br /> ®TattoolHody Piercing <br /> ❑Sauo WASTE <br /> ❑Waste Tire g <br /> Fx Complaint <br /> other(Please Specify): ❑AccauNTING <br /> 1a <br /> ***BOXED AREA-EHD USE ON4LY*** tt <br /> i\, �l�f tZ1t P.4i�4yJ � r 1 � <br /> [Vr Valli :rhii 4&7 <br /> y ' ` cn <br /> Omp e a ( EHU48-afi <br /> #-00b l L ( f )v it d i p— d �( WW"4464-0Ww.186 H eltcn Avenue S ck on, a f i 2D5J C19 68-3 ZC� .sjcehd.com <br /> �� r i <br /> I1 <br />