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RECEIVED <br /> S A N _J O Q Q U)NE8 22 2018 Environmental Health Department <br /> COUNTY— PUBLIC RECORDS RELEASE AWLICATION <br /> (;reetness• nruY; u' r}}}VVV///Jfff PEI9MIT/$ERy EMIT BY EMAIL EHD LOG NUMBER: <br /> APPLICANT: Paul Robinson BUSINESS/AGENCY:Prioriy One Environmental <br /> ADDRESS: 19528 Ventura Blvd,#268, CITYISTATE/ZIP:Tarzana,CA 91356 <br /> PHONE(1): 800-704-4193 PHONE(2):(Fax)800-704-4193 FAX OR E-MAIL: priodytenvironmental@gmail cam <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 -------•—••_.M DATE zrzvzote <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 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. z /� <br /> Future file reviews by the same applicant may require a$152 deposit prior to review. J( <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 2018 <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( P y 9 p <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> ❑x Underground Tank(UST) Street# Street Name City C <br /> Cleanup Site(LOP) f4ln .�.[ ❑cr,u..sn <br /> Q Other Cleanup Site(Nan-LOP) <br /> 5112 Scotts Creek Drive Stocktorf <br /> . Q Hazardous Waste f Dm, <br /> Tiered Permitted Facility P 1018 East March Lane Stockton to .i� <br /> �X Aboveground Tank <br /> UST (Monitoring I Removal) ! PWS <br /> Q Hazardous Materials 0 8654 Thornton Road Stockton 'f• <br /> ❑X Spill Release Response <br /> I't t (ASK •G'G' Z� (� WATERQUALIN <br /> nSolitl Waste Facility/Vehicle 4 8700 Thornton Road Stockton 1 1� /h� �y� <br /> Food Facility <br /> W II IV <br /> Pool/Spa ttl/t ;W,51"yNV gSffE MmGATII n <br /> Dalry 8 8606 Thornton Road Stockton - <br /> Land Use Application Sites 1 <br /> �ih4N11/tA !t(.ahrp ❑HousRG <br /> Septic Pumper Truck/ 6 8709 Davis Road Stockton <br /> Yard/Chemical Toilets <br /> ❑Wastewater Treatment Plant L ixl OtyZ /� CUPA <br /> Housing Abatement 7 3300 N. EI Dorado Street Stockton ASTIHMIHW <br /> Motel/Hotel <br /> Chicken Ranch/Dog Kennel CUPA <br /> 8 UST <br /> ❑Medical Waste Facility <br /> Tattoo/Body Piercing 0 SOLID WAerE <br /> Waste Tire g <br /> K❑Complaint <br /> Other(Please Specify): 0 AccautmuG <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> 0 Records provided by Staff-PPR Complete. Staff Name: EHD 4846 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />