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'ECEIVED <br /> SAN - JOAOU�i� I�nvoronmeni ,_-.-HeaRh Depa��u >,� rl� <br /> -----COUNTY.......... NOV 1 ! PUBLIC RECORDS RELEASE AAPLICATION <br /> Greatness grows here. <br /> ENWPDNMENTAL WAL 9149 6. W. ss—S <br /> LdG NUMBER: 7 <br /> APPLICANT: Rachel Ward BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 520 3rd Street CITY/STATE/ZIP: Oakland, CA 94607 <br /> PHONE(1): 510.907.3145 x2113 PHONE(2): FAX OR E-MAIL: rwarri ar irnn¢Itits ntc rnm <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 Nov 9,2017 <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 <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(a-)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. + <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 <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT <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) ❑CONSUMER <br /> nx Other Cleanup Site(Non-LO 11800 Harlan Road Lathrop <br /> ©Hazardous Waste <br /> [I DAIRY <br /> Q Tiered Permitted Facility 2 <br /> Aboveground Tank <br /> ®UST (Monitoring/Removal) ❑PWS <br /> Hazardous Materials 3 <br /> ®Spill/Release Response <br /> rl Solid Waste Facility/Vehicle 4 ATER QUALITY <br /> Food Facility <br /> r]Pool/Spa ITE MITIGATION <br /> n Dairy 5 <br /> Land Use Application Sites <br /> ®Septic Pumper Truck/ OUSING <br /> s <br /> Yard/Chemical Toilets <br /> ®Wastewater Treatment Plant &l_rPA <br /> Housing Abatement 7 AS /HM I HW <br /> ®Motel/Hotel <br /> Chicken Ranch/Dog Kennel &6PA <br /> a ,� <br /> �]Medical Waste Facility ` UST <br /> Tattoo/Body Piercing <br /> ®Waste Tire n SOLID WASTE <br /> — <br /> E] <br /> Complaint ((//�_ <br /> Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> tt ***BOXED AREA-EHD USE ONLY <br /> r. t/ 2 n n ,r G` 11 ti r':�✓ �""- <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: EHD 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />