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RECEIVED <br /> SAN JOAQU I NsUN 0 4 2018 Environmental Health Department <br /> • --C OU N T — PUBLIC RECORDS RELEASE APPLICATION <br /> ) <br /> Lrcorness ( ruwy �V� <br /> � AL HIFAI 3H <br /> � �R� IT BY EMAIL <br /> EHD LOG NUMBER: <br /> APPLICANT: Andrew Savage BUSINESS/AGENCY:ERAS Endmnmental,Inc. <br /> ADDRESS: 1533 a street CITY/STATEIZIP:Hayward/Californla194541 <br /> PHONE(1): 510-247-9885402 PHONE(2): FAX OR E-MAIL: andrew@eras.biz <br /> Please allow 10 business days from date of application submittal for the records to be available, <br /> Staff will contactyou�0 array e an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT %/� DATE 6 6-18 <br /> 1. List u 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)464.0136,mail to the <br /> address indicated below, or email to infolaulsicehd.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 All to _,"11- <br /> ENVIRONMENTAL <br /> ,uENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( p y g p <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> Q Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) i --+Ikon i 1110 suuee <br /> • QOther Cleanup Site(Non-LOP) ' 1111 Navy Drive Stockton NSj,w <br /> Q Hazardous Waste I,p Daffy <br /> QX Tiered Permitted Facility z 1240 Navy Drive Stockton ' <br /> Q Aboveground Tank <br /> I <br /> Q UST (Monitoring/Removal) M iIkW PWS <br /> Q Hazardous Materials 3 1443 Navy Drive Stockton <br /> Q Spill/Release Response /7, <br /> Q Solid Waste Facility/Vehicle 4 0 <br /> f.¢iiI Wren QQ� <br /> Food Facility t* <br /> ❑Pool I Spa m na MmoA=N <br /> Dairy 6 <br /> ❑Land Use Application Slas <br /> El HOUSING <br /> Septic Pumper Truck/ 9 I <br /> Yard I Chemical Toilets <br /> IJ Wastewater Treatment Plant CUPA <br /> Housing Abatement 7 AST/HMIHW <br /> MotellHalel <br /> Chicken Rench/Dog Kennel ® UPA <br /> 9 <br /> Medical Waste Facility UST <br /> n TaltoolBody Pleming aio WAVE <br /> F1 waste Tire 9 <br /> 0 Complaint <br /> n Other(Please Specify): ❑AccoutmNe <br /> 19 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> b l —E i e tI✓r, Pc 'A7.re iQ.^n <br /> • Awn- <br /> 0 Records provided by Staff-PPR Complete. Staff Name: EHD 4a-9s <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />