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l (p <br /> DATE RECEIVED <br /> JUN �q �U(��/ �{,te��PM SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> JUIN 6' ENVIRONMENTAL HEALTH DEPARTMENT 8 6 5 3 6 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> f�VaAkk :www.sicehd.com 468-3420 Fax: (209)464-0138 Webicehd com Email: infoCd)a sicehd com <br /> FEFMMIS"C� <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> &PPLICANT: Paul Parker BUSINESS/AGENCY: Hopf Environmental <br /> ADDRESS: 10356 N Country Rd 950E CITY/STATE/ZIP: Brownsburg IN 46112 <br /> PHONE (1): 317-677-2960 PHONE (2): FAX OR E-MAIL: parker@envirohopf.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 /> ❑ CHECK BOX TO EXPEDITE REQUEST-$139 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Processed via email by staff. Dom M DATE June 21, 2017 <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 list <br /> 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 above or 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 above. <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 $139 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 <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> ®UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) 0 CONSUMER <br /> ®OTHER CLEANUP SITE(NON-LOP) 192 Lathrop Rd Lathrop <br /> ®HAZARDOUS WASTE <br /> ® <br /> n TIERED PERMITTED FACILITY 14000 E Hwy 88 Lockeford l l ST /,f Q 1�t.7S DAIRY <br /> ®ABOVEGROUND TANK 1h <br /> ®UST (MONITORING/REMOVAL) G /�•/f! PWS <br /> ®HAzARWUS MATERIALS 1434 W Yosemite Ave Manteca <br /> ®SPILL/RELEASE RESPONSE A (�-I <br /> ❑SOLID WASTE FACILITY/VEHICLE 4 10 WATER QUALrtY <br /> ❑FOOD FACILITY <br /> ❑POOL/SPA 19 SITE MITGADON <br /> ❑DAIRY B <br /> ❑LAND USE APPLICATION SITES <br /> ❑SEPTIC PUMPER TRUCK/ 6 ❑HOUSING <br /> YARD/CHEMICAL TOILETS L[ <br /> ❑WASTEWATER TREATMENT PLANT yN.drS <br /> E] ®CUPA HOUSING ABATEMENT 7 4 <br /> 0 MOTEUHOTEL I] <br /> ❑CHICKEN RANCH/DOG KENNELe6 T (((��� ®CUPA-UST <br /> F-1 MEDICAL WASTE FACILITY e 0 <br /> ❑TATTOO(BODY PIERCING <br /> ❑WASTE TIRE B ❑SOLID WASTE <br /> ®COMPLAINT <br /> ❑OTHER(PLEASE SPECIFY): <br /> 10 ❑Accouxnxc <br /> -BOXED AREA-EHD USE ONLY"' <br /> 6/21/2017—Emailed a plicant to confirm receipt of application. Dom M <br /> Id G/ <br /> 0SPJ17% <br /> r t <br /> 0 Records provided bf Staff-PPR Complete. staff Name: <br />