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RECEIVED DATE RECEIVEDEHD LOG NUMBER SAN JOAQUIN COUNTY' MAY 0 %"201 ENVIRONMENTAL HEALTH ®EPAA95205 NTas 3 � � `. • k GVERONfF�EI�3TAR i�EALTH 1868 East Hazelton Avenue, Stockton, CA -6 PEW„/SE ;ephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd PUBLIC RECORDS RELEASE APPLICATION APPLICANT: Clinton Look ADDRESS: 520 3rd Street, Suite 209 PHONE (1): 510-907-3145 x2104 PHONE (2): R—USINESS/AGENCY: AEI Consultants CITY/STATE/ZIP: Oakland, CA 94607 FACSIMILE: 510-338-3192 Please allow 10 business days from date of application submittal for the records to be available. Staff Will contact you to arrange an appointment date and time to review the requested records. ❑ CHECK BOX TO EXPEDITE REQUEST - $130 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS SIGNATURE OF APPLICANT Electronic Information: ❑ List ❑ Map — Description: DATE Specific Date Range of Information Requested: From ENVIRONMENTAL HEALTH DEPARTMENT FILES FN UNDERGROUND TANK (UST) CLEANUP SITE (LOP) N MEDICAL WASTE FACILITY [X OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT UNDERGROUND TANK (MONITORING/REMOVAL) ❑ FOOD FACILITY N ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL KI HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTEL/HOTEL ® TIERED PERMITTED FACILITY ❑ POOLISPA ❑ TATTOO/BODY PIERCING 4j COMPLAINTIRESPONSE RECORDS to SOLID WASTE FACILITY/VEHICLE ® WASTE TIRE ❑ DAIRY ® WASTEWATER TREATMENT PLANT ❑ PUMPER TRUCKNARD/CHEMICAL TOILETS ® LAND USE APPLICATION SITES ❑ OTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-S:OOPM (EXCLUDING HOLIDAYS) 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address indicated above. Address ranges will not be accepted. Applications received after 3:00 pm will be processed the next business day. 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted above. 3. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) days after receipt of application. The files will be held for a maximum of five_�usiness days for review. Appointments should be scheduled accordingly. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future file reviews by the same applicant may require a $130 deposit prior to review. 'BOXED AREA - EHD USE ONLY*** ❑ Records provided by Staff -PPR Complete. Staff Name: 14 1 EHD 48-06 711/15 FILE ADDRESS EHD USE ONLY Street k Street Name City —1-4-t ZZ North El Dorado Street Stockton • / 6 c 0 ❑ Unit 1 299-(( �iG)Giyl►1P�� Si Stockton L3. 202 North El Dorado Street Stockton �(� nit 2 204 North El Dorado Street Stockton D unit 2H io.206 North El Dorado Street StocktonI_ P�V`�l1�t G� x-20--1� 4 M,< 111 p'Unii 3 �? 208 North El Dorado Street Stockton/ 210 North El Dorado Street Stockton ❑ Unit 212 North El Dorado Street Stockton SITE MITIGATION 214 North El Dorado Street Stockton [Z/Un it s 216 North El Dorado Street Stockton Specific Date Range of Information Requested: From ENVIRONMENTAL HEALTH DEPARTMENT FILES FN UNDERGROUND TANK (UST) CLEANUP SITE (LOP) N MEDICAL WASTE FACILITY [X OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT UNDERGROUND TANK (MONITORING/REMOVAL) ❑ FOOD FACILITY N ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL KI HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTEL/HOTEL ® TIERED PERMITTED FACILITY ❑ POOLISPA ❑ TATTOO/BODY PIERCING 4j COMPLAINTIRESPONSE RECORDS to SOLID WASTE FACILITY/VEHICLE ® WASTE TIRE ❑ DAIRY ® WASTEWATER TREATMENT PLANT ❑ PUMPER TRUCKNARD/CHEMICAL TOILETS ® LAND USE APPLICATION SITES ❑ OTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-S:OOPM (EXCLUDING HOLIDAYS) 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address indicated above. Address ranges will not be accepted. Applications received after 3:00 pm will be processed the next business day. 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted above. 3. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) days after receipt of application. The files will be held for a maximum of five_�usiness days for review. Appointments should be scheduled accordingly. 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. Future file reviews by the same applicant may require a $130 deposit prior to review. 'BOXED AREA - EHD USE ONLY*** ❑ Records provided by Staff -PPR Complete. Staff Name: 14 1 EHD 48-06 711/15