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SAN J Q A Q U I N RECEIVERvironmental Health Department <br /> C O U N T Y---- JAN 0 5 2018 PUBLIC RECORDS RELEASE APPLICATION <br /> Grectrlcss Grows her r5 <br /> • ENVIRONMENTAL HEALTH EHD LOG NUMBER: epil" X44 <br /> APPLICANT: Johnny Lam BUSINESSIAGENCY: Readysun Fund LP <br /> ADDRESS: 925 Adams St. CITYISTATEIZIP: Albany,CA 94706 <br /> PHONE (1): PHONE(2): FAX OR E-MAIL: readysuntund@gmail.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arr nge an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT DATE 11512018 <br /> 1. List u2 to ten addresses in the spac a w. 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( 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. 1 /_ <br /> Future file reviews by the same applicant may require a $152 deposit prior to review. 1Q <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT { p y 9 p <br /> FILES (Specific addresses onl address ranges will not be accepted) EHD USE ONLY <br /> ❑Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) D CONSUMER <br /> ❑Othor Cleanup Site(Nan-LOP) <br /> 1 1520 Industrial Drive Stockton <br /> Hazardous Waste ❑DAIRY <br /> Q Tiered Permitted Facility 2 <br /> Aboveground Tank <br /> UST (Monitoring 1 Removal) Pw5 <br /> Q Hazardous Materials 3 <br /> Spill!Release Response <br /> ®Solid Wasto Facility/Vehicie 4 WATER QUALITY <br /> Food Facility I A-\AIJO�"JAAA <br /> ❑Pool!Spa 1j ❑SITE MITIGATION <br /> 0 Dairy 5 a <br /> Land Use Applicatiun Sites <br /> Sepik Pumper Truck 1 {7�0 � ��� ❑Hcuslvc <br /> Yard!Chemical Toilets 6 r <br /> Wastewater Treatment Plant 6q j f] f'n UPA <br /> ❑Housing Abatement 7 0 r,,UllfJ�j)G tJ AST lHM 1 HW <br /> MotellHotel Jam. cJ i V <br /> Chicken Ranch!Dag Kennel ❑CUP <br /> Medical Waste Facility <br /> $ UST <br /> Tattoof5ody Piercing EL,005u0 WASTE <br /> ❑waste Tire g <br /> Complaint <br /> Other(Please Specify(: ❑Accouirrwo <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> N <br /> ❑ Records provided by Staff-PPR Complete. start Name: EHo 48.06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 IF 209 464-0138 1 www.sjoehd.com <br />