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RECEIVED <br /> SANJOAQUIN MAY 03 2018 Environmental Health Department <br /> —COUNTY_ PUBLIC RECORDS RELEASE APPLICATION <br /> • Cr'G'U t(1!`54 Gl CraS <br /> her S.�snn(1\I *{ / ,/ <br /> CtuY�� yl3EMAIL v <br /> �•c� EHD LOG NUMBER: <br /> APPLICANT: Megan Mauer BUSINESS/AGENCY:escreeni-ogic <br /> ADDRESS: 122+S Congress Ave.APL 238 CITYISTATE/ZIP:Austin,TX 78704 <br /> PHONE(1): 5129787055 PHONE(2): FAX OR E-MAIL: m.mauer@escreenloglccom <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 m.mauer@escreenlogiccom - DATE 5/3n9 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT beaccepted. 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(t@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. l(l <br /> LA <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> Electronic Information: XN List N Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT (Specific y 9 p ) EHD USE ONLY <br /> FILES addresses onlyaddress ran es will not be acce tetl <br /> Q Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) + m D CONaeMER <br /> • Q Other Cleanup Site(Nan-LOP) <br /> + 17267 N Sunrise Victor rF. <br /> 0 Hazardous Waste 'Vt N ,Hkr, <br /> 8751 DAIRY <br /> NX Tiered Permitted Facility 2 Hwy A/,/ 1 2 V I tor him <br /> ❑x Aboveground Tank V V�/ N41. <br /> ❑x UST (Monitoring/Removal) Ho-t CICtA ❑PWS <br /> MX Hazardous Materiels a 17250 N Bruella Rd. Vidort .t`F- <br /> ❑x Spill/Release ResponseK /+ 'Fa Q /�rdn <br /> Solid Waste Facility l Vehicle 4 8888 E Hwy 12 Victor .F' �I III I ( 011", <br /> Food Facility <br /> Pool/Spa 7M ttA. \ SITE MITIGBnON <br /> Dairy 5 8980 E Hwy 12 Victor III.f- <br /> Land Use Application Sites <br /> I-lN�r NW p Housirvc <br /> Septic Pumper Truck/ a 8932 E Hwy 12 Victor .f.F. <br /> Yard/Chemical Toilets <br /> ❑Wastewater Treatment Plant 1.�,�-t /� `1 F.F. COPA <br /> ❑Housing Abatement 7 8910 E Hwy 12 VictorN FAST I HM IHW <br /> ❑Motel/Hotel <br /> CUPA <br /> Chicken Ranch/Dog Kennel S;T, r`1tt�W <br /> E]Medical Waste Facility a 8844 E Hwy 12 Victor N r-r- UST <br /> ❑Tattoo/Body Piercing UkLr L O Souo WASTE <br /> Waste Tire a 8832 E Hwy 12 Victor "7' <br /> Complaint <br /> Other(Please Specify): ❑ACCOUNrMG <br /> 10 17285 N Bruella Rd Victor �'F' <br /> ***BOXED AREA-EHD USE ONLY*** <br /> • 1 U+3- 5-16-t-t+b.G ( .r.zAA RZk 1A v A !-- -Al k <br /> ❑ Records provided by Staff-PPR Complete. Stan Name: eHD4e.rs <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />