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RECEIV ronmental Health Department <br /> "� �,, SAN a <br /> —COUNTY— r PUBLIC RECORDS RELEASE APPLICATION <br /> MAY 15 Z <br /> GrerjtneSs a 01YS here. <br /> • EI'+tVIRONtS T Ill-#1l-AiM EHD LOG NUMBER:57L37 <br /> APPLICANT: Elizabeth Scudero BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 520 3rd Street CITY/STATE/ZIP: Oakland, CA 94607 <br /> PHONE (1): 510.907.3145 x2109 PHONE(2):510-681-7818 FAX OR E-MAIL: PS.ARrnnaeirrnsidtants rrm <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 gppo nt epA,date and time to review the requested records. <br /> SIGNATURE OF APPLICANT Elizabeth SCudero°, _ °`°"�,s' DATE May 15,2018 <br /> 1. List up to ten addresses in the space below. Ad ress''ra'nges 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 (Specific addresses only, address ranges will not be accepted) EHD USE ONLYFILES <br /> ®Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) wi ily ❑CONSUMER <br /> • Q Other Cleanup Site(Non-LOP) ' 100 Valpico Road Tracy_' 6- FRO506ria . 1^y-`(I. <br /> ©Hazardous Waste �l� <i'f ( ,t 6, ❑DAIRY <br /> x❑Tiered Permitted Facility 2 75 Valpico Road Tracy a_oLv0t;LtD a a°1bQ <br /> Aboveground Tank `It 1ci65 <br /> ® UST (Monitoring/Removal) ❑PWS <br /> 3 <br /> Hazardous Materials Release case records only <br /> © <br /> ®Spill/Release Response Case #694 1�1 <br /> WATER QUALITY Waste Facility/Vehicle 4 r 1 <br /> Food Facility 6 <br /> ' '— <br /> Pool/Spa SITE MITIGATION <br /> Dairy 5 All records on-file, <br /> lg Land Use Application Sites including two �r <br /> HOUSING <br /> ®Septic Pumper Truck/ 6 closed LUST <br /> Yard/Chemical Toilets <br /> ®Wastewater Treatment Plant cases: #14231 and CUPA <br /> Housing Abatement 7 1#142323 AST/HM/HW <br /> ® Motel/Hotel <br /> Chicken Ranch/Dog Kennel 2<U PA <br /> 8UST <br /> n Medical Waste Facility <br /> Tattoo/Body Piercing Soun WASTE <br /> ®Waste Tire g <br /> ®Complaint <br /> Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> —BOXED AREA-EHD USE ONLY"" <br /> • <br /> j I-pj A !eg o, o'- X�\c, . an I , M'(1-QC s. <br /> JX <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 />