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Imo'{ <br />DATE RECEIVED„ �EHD LOG NUMBER <br />°�� ±����❑ SAN JQAc�UIN COUNTY h <br />ENVIRONMENTAL HEALTH DEPARTMENT ti._�' . <br />lel 1868 East Hazelton Avenue, Stockton, CA 95205-6232' <br />'�� `ielephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />4OARONI UM Q L I E%LTC� <br />(ER ITiSEMAGES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Megan Nolet BUSINESS/AGENCY: AEI Consultants <br />ADDRESS: 3880 S. Bascom Avenue, Suite 109 CITY/STATE/ZIP: San Jose, CA <br />PHONE (1): (408) 559-7600 PHONE (2): FACSIMILE: (408) 559-7601 <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 (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT Megan Nolet DATE 2/4/2016 <br />Electronic Information: ❑ List ❑ Map — Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />Unit 1 <br />Street # <br />Street Name <br />City <br />1. <br />2681 <br />N Tracy Blvd <br />Tracy <br />--- i�Y�t/jfC'll Cab <br />APN: 214-200-53 <br />2. <br />2683 <br />N Tracy Blvd <br />Tracy <br />APN: 214-200-53 <br />W/Unit 2 <br />3. <br />2685 <br />N Tracy Blvd <br />Tracy! <br />APN: 214-200-53 <br />R <br />L4.2687N <br />2687 <br />Tracy Blvd <br />Tracy <br />APN: 214-200-53 <br />I Unit 3 <br />2689 <br />N Tracy Blvd <br />Trac Y <br />APN: 214-200-53 <br />N Tracy Blvd <br />2691 <br />Trac y <br />/ �i <br />APN: 214-200-53 <br />i)I"�1' vC7�111 ®tfintt� <br />7. <br />2693 <br />N Tracy Blvd <br />APN: 214-200-53 <br />Tracy <br />(� 1 <br />� � Gh— j—1 o ' l <br />/� <br />8. <br />2539 <br />N Tracy Blvd <br />Tracy <br />APN: 214-200-53 <br />E2 Unit 5 <br />9. <br />Tracy <br />10. <br />Tracy <br />Specific Date Range of Information Requested: From ALL <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ® MEDICAL WASTE FACILITY <br />® OTHER CLEANUP SITE (NON -LOP) ® HOUSING ABATEMENT <br />® UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ FOOD FACILITY <br />® ABOVEGROUND TANK ❑ CHICKEN RANCHI DOG KENNEL <br />® HAZARDOUS WASTEIHAZARDOUS MATERIALS ® MOTEL/HOTEL <br />® TIERED PERMITTED FACILITY ❑ POOL/SPA <br />❑ TATTOOIBODY PIERCING ® COMPLAINT/RESPONSE RECORDS <br />to ALL <br />® SOLID WASTE FACILITY/VEHICLE <br />❑ WASTE TIRE <br />® DAIRY <br />® WASTEWATER TREATMENT PLANT <br />® PUMPER TRUCK/YARD/CHEMICAL TOILETS <br />® LAND USE APPLICATION SITES <br />❑ 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 files from the list above by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail 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 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. <br />Future file reviews by the same applicant may require a $125 deposit prior to review. ***.BOXED AREA - EHD USE ONLY*** <br />pjlplr� <br />