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SAN ) OAQUIN RECEIVEAvironmental Health Department <br /> --COU N T Y--- SEP U 5 2017(1wd PUBLIC RECORDS RELEASE APPLICATION <br /> `-_.„�z�' Greatness grov;s here. q � <br /> ENVIRONMENTAL HEALTH <br /> oca nn Fe EHD LOG NUMBER: �7022 <br /> APPLICANT: MEGAN NOLET BUSINESS/AGENCY: AEI CONSULTANTS <br /> ADDRESS: 3880 S BASCOM AVE,STE 109 CITY/STATE/ZIP: SAN JOSE, CA 95124 <br /> PHONE (1): 408-559-7600 PHONE (2): FAX OR E-MAIL: 408-559-7601 <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 Processed via email by Staff. Dom M DATE September 5,2017 <br /> 1. List up to ten addresses in the space below. 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(rDsicehd.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. "IV/ <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 FILE ADDRESS <br /> HEALTH DEPARTMENT <br /> FILES (Specific addresses only, address ranges will not be accepted) EHD USE ONLY <br /> n Underground Tank(UST) Street# Street Name city <br /> CleanupSite(LOP) 440 INDUSTRIAL DR STOCKTON / CONSUMER <br /> ® Other Cleanup Site(Non-LOP) <br /> E Hazardous Waste 0 DAIRY <br /> E Tiered Permitted Facility 3412 PERLMA DR STOCKTON/ <br /> E Aboveground Tank <br /> E UST (Monitoring/Removal) ❑PWS <br /> E Hazardous Materials 2120 BOEING WAY STOCKTON <br /> E Spill/Release Response 1� 7� _ <br /> Solid Waste Facility/Vehicle 5 WATER Quultt <br /> ® y 4510 � ALITALIA AVE STOCKTON <br /> Food Facility <br /> Pool/Spa ®SITE MITIGATION <br /> ❑Dairy s 4440 ALITALIA AVE STOCKTON /UAIJ <br /> E Land Use Application Sites <br /> ®HOUSING <br /> ®Septic Pumper Truck/ 4800 S AIRPORT WAY STOCKTON N IO <br /> Yard/Chemical Toilets '�'`(� v(/� <br /> E Wastewater Treatment Plant ®COPA <br /> E Housing Abatement 7 C�/ 3 AST/HM/HW <br /> E Motel/Hotel It <br /> • — <br /> E]Chicken Ranch/Dog Kennel I ` 1' l a IP <br /> - <br /> ®Medical Waste Facility <br /> Tattoo/Body Piercing — <br /> ®Soup Wasre <br /> Waste Tire g <br /> E Complaint PloAd TWr,— <br /> n Other(Please Specify): 10 1 ❑Accouxnxa <br /> `�/��v <br /> 1 <br /> *"BOXED AREA-EHD USE ONLY <br /> 9/5/2017-EMAILED APP TO CONFIRM RECEIPT OF PRRA, INFORM THEM OF DELAY,AND THAT WE HAVE FILES. DOMM <br /> ❑ Records provided by Staff-PPR Complete. start Name: EHae-ae <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />