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RECEIVE <br /> 2' SAN. <br /> �JOAQUIN ronlmental Health Department <br /> —COUNTY— <br /> APR 162018PUBLIC RECORDS RELEASE APPLICATION <br /> ' <br /> Greatness grows here. <t��er 5vr--� 88452 <br /> EI�F1/IROMME . FtFh17- EHD LOG NUMBER: <br /> APPLICANT: JOSEPH A HALLIGAN PEW17USER1111111= BUSINESS/AGENCY: CA DEPT OF TAX AND FEE ADMIN <br /> ADDRESS: 3321 POWER INN RD, STE 210 CITY/STATE/ZIP: SACRAMENTO,CA 95826-3889 <br /> PHONE(1): 916-227-2747 PHONE (2): FAX OR E-MAIL: 916-227-6706 <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 PROCESSED VIA MAIL BY STAFF. DOM M DATE APRIL 17,2018 <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 infoOsicehd.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) �5 <br /> Electronic Information: ❑ List❑ Map–Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT y g p <br /> FILES (Specific addresses only, ranges will not be accepted) EHD USE ONLY <br /> ❑Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) ®CONSUMER <br /> ❑Other Cleanup Site(Non-LOP) 1 229 E YOSEMITE AVE MANTECA <br /> 416 Hazardous Waste \ E]DAIRY <br /> ❑Tiered Permitted Facility 2 KINNAREE THAI CUISINE <br /> F1 Aboveground Tank <br /> UST (Monitoring/Removal) <br /> PWS <br /> ❑ Hazardous Materials a <br /> Spill/Release Response <br /> Solid Waste Facility/vehicle 4 ❑WATER QUALITY <br /> ®Food Facility <br /> F1 Pool/Spa ❑SITE MIDGATeN <br /> ❑Dairy 6 <br /> ❑ Land Use Application Sites <br /> Septic Pumper Truck/ <br /> 6 ❑HOUSING <br /> Yard/Chemical Toilets <br /> Wastewater Treatment Plant E]CUPA <br /> ❑Housing Abatement T AST/HM/HW <br /> ❑Motel/Hotel <br /> F] Chicken Ranch/Dog Kennel ❑CUPA <br /> 6 <br /> Medical Wase Facility UST <br /> ❑Tattoo/Body Piercing <br /> ❑Souo WASTE <br /> n Waste Tim g <br /> ❑Complaint <br /> ® Other(Please Specify): ®ACCOUNTING <br /> 10 <br /> SEE ATTACHED LETTER <br /> —BOXED AREA-EHD USE ONLY*" <br /> /17/2018—CALLED APPLICANT AND CONFIRMED RECEIPT OF PRRA. DOM M <br /> ❑ Records provided by Staff-PPR Complete. Starr Name: EHD 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />