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RECEIVED <br /> SAN 10 A Q U I N NIAY 3 0 2018 Environmental Health Department <br /> C n U T'Y PUBLIC RECORDS RELEASE APPLICATION <br /> ENAIROM <br /> PE11WII'M I� 1AIL T30 PM y� <br /> � EHD LOG NUMBER. <br /> APPLICANT: Reena Paleja(Broker)/Gurmeet Dabb(Buyer) BUSINESS/AGENCY:Quick,Klec.n Car Wasn <br /> ADDRESS: 707 E Yosemeti Ave CITY/STATE/ZIP:tdenteca <br /> PHONE(1): (415)866 3440 PHONE(2):,610)846-2194 FAX OR E-MAIL: rpaiejar gm,it corn <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 DATE <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 infota7sicehd.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. —7 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM•5:001"M (EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑x List X❑ Map-Description: <br /> Specific Date Range of Informa ' n Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ses only,address ranges will not be accepted)FILES ` (Specific addresu <br /> T <br /> 0 Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) <br /> Q Other Cleanup Site(N 707 E Yosemite Ave Manteca <br /> Q Hazardous Waste ❑ <br /> DAIRY <br /> Tiered Permitted Fac ilit ` 2 <br /> Q Aboveground Tank <br /> XQ UST (Monitoring/Removal) E]PWS <br /> Q Hazardous Materials 3 <br /> Q Spill/Release Response <br /> 211WATER QUALITY <br /> F]Solid Waste Facility/Vehicle 4 <br /> Q Food Facility <br /> Pool/Spa [9SITE MITIGATION <br /> Dairy 5 <br /> Land Use Application Sites <br /> 13 HOUSING <br /> Septic Pumper Truck/ <br /> 6 <br /> Yard/Chemical Toilets <br /> Wastewater Treatment Plant CLI PA <br /> Housing Abatement 7 AST/HM/HW <br /> F1 Motel/Hotel /11 <br /> Chicken Ranch/Dog Kennel CLPA <br /> Medical Waste Facility 8 UST <br /> F]Tattoo/Body Piercing ❑SOLID WASTE <br /> Waste Tire 9 <br /> Complaint <br /> Other(Please Specify): E]ACCOUNT114G <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> '�- - - L e ( ' '�f�,��f � ut- (Vc`�. ��.�l,i•,wz�v i�' . tvz�� �t f (,1� <br /> 9 t , <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: EHD 46-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />