Laserfiche WebLink
03/23/2015 13:15 92574GGf AEICONSULTANTS1* PAGE 01/01 <br /> RE SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT 114,f <br /> MAR 2 3 2011 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMITISFRVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Clinton Look BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 2500 Camino Diablo CITY/STATE/ZIP:Walnut Creek,CA ='—/ 7 <br /> '-/Y(7 <br /> PHONE(1): 925.746.6016 PHONE (2): FACSIMILE:925-746-6099 <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 BOXTO EXPEDITE REQUES -$Ip FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: [] List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city _ 1 <br /> 1. 3550 South Highway 99 Stockton c? <br /> 2. 3736 South Highway 99 Stockton t C c':, w S S" uric z <br /> 3. I fv9 <br /> 4. E7 Unn 3 <br /> 5. I <br /> 6. wje 14 flteS oLyA ,0—Unit4 <br /> 7. <br /> 8. <br /> yy� <br /> ❑unit5 <br /> % <br /> LA <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUNO TANK(UST)CLEANUP SirE(LOP) ®MEDICAL WASTE FACILITY ®SOLID WASTE FACRIIYIVEHICLE <br /> 0OTHER CLEANUP SUE(NON-LOP) OHOUSING ABATEMENT E]WASTETIRE <br /> ®UNDERGROUND TANK(MONFFORINGIREMOvAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELMOTEL []PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mall 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 flies will be hold 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 reorgani2ad by EHD staff at the expense of the applicant. <br /> Future fife reviews by the same applicant may require a$125 deposit prior to review. ""BOXED AREA-END USE ONLY" <br /> (mow a •F tti^3i�771 � •hN���Aorle,�itelr�r �73G �w `lel . <br /> J,� I %06 a,.4\ E4te t. L�f C-00,N -11 k) . <br /> 1o, tor:S53i i t tWli, <br /> Records provided by Staff-PPR Complete. staff Name: <br /> Received Time—Mar. 21 -20150 1 : 16PM=No. 8383 <br /> 4r7EN4 <br />