Laserfiche WebLink
e2/IQ/2015 16:10 925746609 AEICONSULTANTS PAGE 01/01 <br /> I: DATE <br /> F: . SAN JOAQUIN COUNTY • EHD LOG NUMBER <br /> �. !�� !!!N� ENVIRONMENTAL HEALTH DEPARTMENT <br /> Eg �( N1J 1868 East Hazelton Avenue, Stookton, CA 95205-6232 <br /> olephto��ne: (209)468-3420 Fax: (209)464-0138 Web. Www.sjgov.org/ehd <br /> LNLPUBLIC RECORDS RELEASE APPLICATION <br /> T� <br /> APPLICANT: Z((N BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 2500 Camino Dlablo CITY/STATElZIP:Walnut Creek,CA <br /> PHONE(1): q2; PHONE(2);_2=S� _ 000_ 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-$t30 FEE(C ASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE= OF APPLICANT�Q <br /> DATE <br /> ._( _1]g !2_0(S <br /> Electronic Information: ❑ List ❑Map-Description: <br /> FILE ADDRESS__ <br /> ` Street 9 Street Name '—'-- EHD USE ONLY <br /> _ — Ctry <br /> -3`IL— Fevlrrn�l Drive _ StocKi�n 1 �— q�nIt1 <br /> 2. — --- <br /> 3. - _JGIUnit2 <br /> 4. ---- — / <br /> 5. — - -- -- — --- - —�l�6nIt3 <br /> 6. ----- <br /> 7. <br /> _ UII <br /> 6. <br /> 9. —.--- —' --- �5�✓1 — ❑Unit s <br /> 10. —.—.------- �_(� <br /> r <br /> Specific Data Range of Information Requested; From Unit a <br /> ��� <br /> ENVIRONMENTAL WEALTH DEPARTMENT FILES - to <br /> ,L--�-,7,U��DE��RGROUND TANK(UST)CLEANUP SITE LOF ,_,_,� <br /> L�S�UTNER CLEANUP SITE(NDN-LOP) ( ) ❑MEDICAL WASTE FACIL TY I-s D WASTE FACILIfYIVEHICLE <br /> k2�U RGROUND TANK(MONITORINGIREMOVAL 0 HOUSING ABATEMENT �y�TIRE <br /> qA vEGROUND TANK ) ❑FOOD FACILITY D <br /> RDOUS WASTEIHAZARDOUS MATERIALS Ej CHICKEN RANCH/DOG KENNEL ASTEWATER TREATMENT PLANT <br /> ������"""III������ IERED PERMITTED FACILITY �0 pMpOpTEUHOTEL PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> ❑TATTOOBODY PIERCING i11 P LISPA ❑LAND USE APPLICATION SITES <br /> L7 COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:o0PM (EXCLUDING HOLIDAYS) <br /> 1. List uo to tan addresses in the space above. Select the types)of files from the Ilst above by checking the appropriate <br /> box(es). At least one file type MUST be selected. ax t 209 464-0138 o mail to the address i dicated a6o e. 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 identffying the nature and content of EHD records, please contact EHD at the number noted above. <br /> 3. The EHD will notify the eppllcant 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 Ave business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Anyfile not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant, <br /> Future Ale reviews by the same applicant may require a$125 deposit prior to review. ^^^BOX D AREA-EHD US ONLY'"" <br /> vvae,t 04(tI k&Ak j(1&1iAn $u� 4,r Ijti t� at•® pie (� r �ltl 41r.,i 0/ U`Qell♦ AII <br /> Q Records provided by Staff-PPR Complete. Staff Name: <br /> EVeceived( me=Feb. 18. =2015= 4: lOPNrN.a;-1)160 412an4 <br />