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I ■ 05/06/2015 13:31 925746609 AEICONSULTANTS • PAGE 01/01 <br /> CEHD LOG NUMBER <br /> I ■ <br /> � <br /> ■1TERECEIVED SAN JOAQUIN COUNTY <br /> � /1 ENVIRONMENTAL. HEALTH DEPARTMENT <br /> aeC <br /> v.or 1868 East Hazelton AvenueStockton, CA 96205-6232 <br /> r /ehd �,\phone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> 5 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> BUSINESSIAGENCY: AEI Consultants <br /> APPLICANT:Clinton Look <br /> ADDRESS: 2500 Camino Diablo CITYISTATEIZIP-Walnut Creek CA <br /> PHONE 2)' FACSIMILE:925-746-6099 <br /> PHONE(1): 925-746-6016 ( �4\ + ltA '24 AeU <br /> Please allow 10 business days from date of application submittal for the recordsto be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQU T-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED DATE 53 BUST�j SS DAYS <br /> SIGNATURE OF APPLICANT 1 <br /> Electronic Information: ElList L1 Map-Description; <br /> ­11111117Z <br /> O USE ONLY <br /> FILE ADDRESS cita Unit 1 <br /> Street 3F <br /> Street Name _ <br /> 1. 5302 Pacific Avenue Stocktoonn r✓r� �aaJ <br /> Stockton � �t <br /> Cn � <br /> 2. 5308 Pacific Avenue wt4 + <br /> 3. 5350 Pacific Avenue Stockton <br /> 4. 5400 Pacific Avenue <br /> Stockton 5 - Unit 3 <br /> Stockton <br /> 5. 5420 Pacific Avenue R,ST_U�L Un <br /> 6. 5110 Pacific Avenue Stockton �{ d <br /> Stockton $"^ T 5 �' Py F <br /> 7. 5151 Pacific Avenue UWV <br /> Stockton Ttt+c{ ti ` <br /> 8. 5757 Pacific Avenue Wit= IyMOS X3-Jt1Gt� <br /> 9. 221 West Yokuts Avenue Stockton <br /> O <br /> 10. 5223 Claremont Avenue Stockton � i I- Unit e <br /> to <br /> specific Date Range of Information Requeeted: From <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES SOLIDWASTE FACILNYNEHICLE <br /> ®UNDERGROUNDTANK(LIST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILV <br /> ❑HOUSING ABATEMENT ® IRE <br /> ®OTHER CLEANUP SITE(NON.LOP) ❑DAIRY <br /> AIRY <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) [I FOOD FACILITY CHICKEN RANCHI DOG KERNEL ®WASTEWATERTREATMENT PLANT <br /> ®ABOVEGROUND TANK MOTELIHOTEL ❑PUMPER TRUCKNARDICHE6NCAL Top ETs <br /> ®HAZARDOUS WASTEMWARDOUS MATERIALS POO1ISPA LAND USE APPLICATION SRES <br /> ®TIERED PERMITTED FACILITY PLEASE SPECIFY) <br /> ❑TATTOOIBODY PIERCING Ig COMPLOTHER AiNTIRESPONSE RECORDS ❑ <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> the <br /> priate <br /> 1. List u to en ad r Ses In te spat by selected.SelF ct tht type(s) <br /> (091)of files 464-0138ror mtall tohe sthe addret above ss tnd checking <br /> iated aboye`oAddress <br /> box(es). At least one file type <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 fox®rtiatei above. 10 <br /> 3. The EHD will notify the applicant <br /> cation. If any EHD The files will be held for a maximles exist. An um of five businessnt for will <br /> days for review, Appolntments ( ) <br /> days atter receipt of app <br /> should be scheduled accordingly. <br /> 4. Any file not mtumed 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$125 deposit prior to review. ""BO ED A 11 R ONLY— <br /> ) {A f to{lri�t Di a Puc 5 (3 r� 575'7 +c,(1 R,),15,11111115010 �aclf�� Y` 60. Nuul. co.n <br /> 3VAJ, l lyrtou 3d <br /> d �OGII�DtRs7S�B9{w�tG(7 eaS vwc0. eo\lAel- 14tiT �rSIIO Gud`u vlitCO Irov.�eS nL <br /> C e C7I jt4t rJ`0'�9J3 �+ R^-L b ' L7J IQ aGf IL <br /> V vee P/ICs 4r T93t2 Pnt)tKe lk z wK%tt L4t S5t L <br /> der 'tr al Lei 5 i '-^ <br /> ..._ o StaffNama I ()3tt W <br /> Received T'imePM-a 6. —!' 5= 1 : 31P No. 8655 �u Z alzena <br /> EHD 4MG <br />