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put <br /> M I V tU SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT r' r��� <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 �V17 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.socehd.com Email: info(a)sicehd com <br /> 5WRONMONTAL HEALTH <br /> wcrauLrrccmUt^.�cCES PUBLIC RECORDS RELEASE APPLICATION <br /> �PPLICANT: Tyler Patel BUSINESS/AGENCY: AEI Consultants <br /> DDRESS: 520 Third St, Ste 209 CITY/STATE/ZIP: Oakland, CA 94607 <br /> PHONE (1): 510-907-3145 x2114 PHONE (2): 858-776-4974 FAX OR E-MAIL: 510-338-3192 <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-$139 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Processed by Staff from email Dom M DATE April 14 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 list <br /> 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 above, 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 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. I, <br /> Future file reviews by the same applicant may require a$139 deposit prior to review. LA13A <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 FILE ADDRESS <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> ®UNDERGROUND TANK(UST) Street# Street Name <br /> city <br /> CLEANUP SUE(LOP) 0 CONSUMER <br /> OTHER CLEANUP SITE(NON-LOP) 1 2533 W Kettleman Ln Lodi 1 �^ <br /> ®HAZARDOUS WASTE <br /> ®TIERED PERMUTEDDAIRY <br /> FACILITY z 2715 W Kettleman Ln Lodi �,yy�-�, �,�'� <br /> ®ABOVEGROUND TANK �/�����ILrt 1,0D <br /> ® <br /> LIST (MONITORING/REMOVAL) �J/ PWS <br /> ®HAZARDOUS MATERIALS S 2745 W Kettleman Ln Lodi MOP <br /> /`��fJ�� //�A/� <br /> ®SPILURELEASE RESPONSE 11,I•r/r/VrlVrr( / V0 <br /> ❑SOLID WASTE FACILITY/VEHICLE C0 WATER QUALITY <br /> 1379 S Lower Sacramento Rd Lodi v' <br /> FOOD PALLET' <br /> F1 POOL/SPA 19 SITE MInOATION <br /> 0 DAIRY S 1387 S Lower Sacramento Rd Lodi y <br /> LAND USEAPPLICATION SITES IT- <br /> SEPTIC PUMPER TRUCK/ S HOUSING <br /> YARD/CHEMICAL TOILETS <br /> E]WASTEWATER TREATMENT PLANT <br /> 0 ®CUPA HOUSING ABATEMENT 7 p � � <br /> MOTEIJNOTEL (/tAA <br /> CHICKEN RANCH/DOG KENNEL ®CUPA-UST <br /> 8 <br /> MEDICAL WASTE FACILITY <br /> TATTOO/BODY PIERCING <br /> WASTE TIRE B ❑SOLID WASTE <br /> ®COMPLAINT <br /> ®OTHER(PLEASE SPECIFY): TU ACCOUNTING <br /> Septic&Well permits <br /> "'BOXED AREA-EHD USE ONLY"• <br /> 11 Records provided by Staff-PPR Complete. Staff Name: <br />