Laserfiche WebLink
02/18/2015 16:10 92574660 AEICONSULTANTS PAGE 01/01 <br /> rte, EHD LOG NUMBER <br /> L. DATE R }L SAN JOAQUIN COUNTY - <br /> ' 0 ENVIRONMENTAL HEALTH DEPARTMENT <br /> { j q O1J 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> qt <br /> a egqphone: (209) 468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br /> LN IS(L*31S 'UBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: El iza))I rn BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 2500 Camino Diablo CITY/STATE/ZIP:walnut Creek,CA <br /> PHONE(1): — 2S—]t�� _ (O�) PHONE(2); <br /> —C0000 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 BOX TO EXPEDITE REQUEST-$130 FEE(C TSH ORCHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ,, <br /> DATE�� <br /> Electronic Information: ❑ List ❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street p Street Name -- <br /> — City <br /> 1. -3`IL Pelm <br /> Yla-I'1 Drive__ <br /> 2. S�cKfion dUnlll <br /> ;moo -1 —�-- <br /> � �, _ - <br /> 4. <br /> (�Nu°1�e9, �,�;i�,°sll� ,.� <br /> 7. Unit 4 <br /> 9. Unit 5- <br /> 10. — ------- -- 3 tri — <br /> i <br /> Specific Data Range of Information Requested: From Unit 6 <br /> ,�� ENVIRONMENTAL WEALTH DEPARTMENT FILES — to / <br /> I�`�',�U DE�RGROUND TANK(UST)CLEANUPSRE LOP <br /> ���,�� R CLEANUP SITE(NON-LOP) ( ) ❑MEDICAL WASTE FACILITY �8 D WASTE FACILrrY1VEHIC <br /> ����(�IIII RGROUNDTANK(MDNITORINGIREMOVAL LlHOUSINGABATEMENT AsTETIRE <br /> L'7A VEGROUND TANK ) ❑FOOD FACILITY ❑D <br /> RDOUS WASTE/HAZARDOUS MATERIALS CHICKEN RANCH/DOG KENNEL ASTEWATER TREATMENT PLANT-z_�S <br /> ���'''TTTIERED PERMITTED FACILITY ❑MOTEIHOTEL El PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> El USPA <br /> TATTOO/BODY PIERCING LAND USE APPLICATION SITES <br /> ❑ F• Ll <br /> Ll RECORDS <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REviEw: MONDAY-FRIDAY 8:00 A❑M 5TOOPM (EXCLUDING HER(PLEASE )HOLIDAY$) <br /> 1. List uo to on addresses in the space.above. Select the types)of files from the Ilst above by checking the appropriate <br /> box(es), At(east one file type MUST be selected. ax t 209 464-0138 o mail to the address i dlcated abo e. Address <br /> ranges w111 not be accepted.Applications received aflier 3:0o 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 notlfy 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 wlli be held for a maximum of flue business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Anyfils 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�re"quire a$125 deposit prior to /review. `^`BO..pXED AIgR_EA-EHD USE ONLY""' <br /> N Vies 4 ne- t-'AAv lik�W `('iLK. Kar w {t - t1M P1 tas! '�Atl fAmm Or 0/N WW ALto <br /> febOa45e 4 e5: <br /> ❑ Records(provided by Staff-PPR Complete. staff Name: <br /> ,;Peceived ��ime=Feb, 18. =2015= 4: 10p,rrhA60 41281`14 <br />