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� ����� �{ � *� � EHD LOG NUMBER <br />D� .1.E �' '-<`' SAN JOAr uIN COUNTY <br />201261 <br />-1 <br />F.e ENVIRONMENTAL HEALTH DEPARTMENT <br />JUL 14 201261 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />ENVIR[[ME (M_ IUkl_Ht <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: y Clinton Look BUSINESS/AGENCY: AEI Consultants <br />ADDRESS: 520 3rd Street, Suite 209 CITY/STATE/'IP: Oakland, California 94607 <br />PHONE (1): <br />510-907-3145 x2104 PHONE (2): FAX OR E-MAIL: CLOOK@aeiconsultants.com <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 />❑ CHECK BOX TO EXPEDITE REQUEST - $130 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE 7/14/2016 <br />1. List up to ten addresses in the space below. Select the type(s) of files from the list below by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address indicated above. Address <br />ranges will not be accepted. Applications received after 3:00 pm will be processed the next business day. <br />2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted above. <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 $130 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 to <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILES <br />FILE ADDRESS <br />EHD USE ONLY <br />® UNDERGROUND TANK (UST) <br />Street # <br />Street Name <br />City <br />40 <br />North Church Street <br />[] CONSUMER <br />CLEANUP SITE (LOP),^ <br />HAZARDOUS WASTE <br />TIERED PERMITTED FACILI \a <br />.ABOVEGROUND TANK \S` <br />2 <br />17 <br />7 <br />Louie Street <br />Lodi <br />DAIRY <br />u PIAIC <br />UST (MONITORING/ REMOVAL) <br />HAZARDOUS MATERIALS <br />1� SPILURELFASE RESPONSE <br />SOLID WASTE FACILITY i VEHICLE4 <br />FOOD FACILITY <br />0 <br />West Turner Road <br />Lodi <br />110 <br />East Turner Road <br />Lodi <br />WATER <br />[WATER QUALITY <br />C►v" ( /�G,� <br />SITE MITIGATION <br />❑ POOL / SPA <br />_® DAIRY <br />6 <br />7-11 <br />-rth Sar-arn- ento <br />No c- <br />Lodi <br />® LAND USE APPLICATION SITES <br />® SEPTIC PUMPER TRUCK/ <br />YARD / CHEMICAL TOILETS <br />6 <br />HOUSING <br />v \ (-. u — y <br />WASTEWATER TREATMENT PLANT <br />rEfCUPA <br />HOUSING ABATEMENT <br />7 <br />MOTEUHOTEL <br />CHICKEN RANCH / DOG KENNEL <br />/'[f CUPA -W Z-WAK <br />IN MEDICAL WASTE FACILITY <br />F] TATTOO/BODY PIERCING <br />WASTE TIRE <br />8 <br />/ <br />y <br />SOLID WASTE <br />SRI COMPLAINT <br />E]ACCOUNTING <br />OTHER(PLEASE SPECIF): <br />10 <br />—BOXED AREA - EHD USE ONLY— <br />❑ Records provided by Staff -PPR Complete. Stats Name: Z�. <br />EHD 48-06 <br />rK%111111111111 <br />