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o: rage 2oT2 2Ulb-IU-l22U:1J:1b(UM1) 141OOLUD0D0 rrom: LarneLOCKe <br /> RME ?r tl fes''R EHD LOG NUMBER <br /> SAN .IOAQUIN COUNTY <br /> OCT 12 215 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 ` �(f <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> '+,.NVIRON T NTALHESLTH <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Carrie Locke BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 1819 Jackson Street,Apt.4 CITY/STATEIZIP: San Francisco, CA 94109 <br /> PHONE(1): 415-505-8090 PHONE (2): FACSIMILE: 415-520-5858 <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-$130 FEE IC(SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT C — < DATE October 12,2015 <br /> Electronic Information: ❑ List ❑ Map- Description: <br /> FILE ADDRESS EHD USE ONLY <br /> ^ <br /> Street# Street Name city <br /> ❑Unit 1 <br /> 1. 602 North Wilson Way Stockton V\ C p� p <br /> 2. 604 North Wilson Way Stockton I"I 41A, rp cdrx LQr 1t 2 <br /> 3. 616 North Wilson Way Stockton verlq <br /> CrCr / <br /> 4. 624 North Wilson Way --- ---Stockton 10-�-tJ �� 3 `�!'+✓,' <br /> r, <br /> 678 North Wlson Way�$ � _ _ Stockton <br /> � ly N7-�O GLCw.H,.-(o 5i IAST-�0 <br /> y 6. 700 i North Wilson Way 1�Ft% Stockton L t-is )AV-0 (0111-04-CO ®-�init 4 <br /> 7. 702 1 North Wilson Way Stockton t-lw• -C-Or co—f-G9)CLe,r,,,-ul� <br /> 8• 712 North Wilson Way Stockton /J1 r �yunit 5 <br /> 9. 714 North Nilson Way Stockton <br /> p1 North Wilson Way Stockton , <br /> I, 10. 724 ' ❑Unit 6 <br /> Specific Date Range of Information Requested: From Eadlest to Latest <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY 0 SOLID WASTE FACILITY/VEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑X WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RmCHI DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEL/HOTEL ®PUMPER TRUCK(YARD/CHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(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 appointmentfor 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 $125 deposit prior to review. ""BOXED AREA-EHD USE ONLY" <br /> r C O 1 0 ('?W 1; Cc7 1763 COOo 0 A4 COooqtar 06 '.4 ; <br /> Vit V p wry dC r6'/3 w$ )0-J-- V' CP• vrajex W 46 <br /> liltw— I r 6 t-%tl v vu CD. JA�e� vV, Cur6)b K4, 7. LAIon 1n)4 <br /> IAwk 'l '-� atice f e AAeA ( f.�r G7ti �t1 sn 5 V <br /> ❑ Records p vided by Staff-PPR Complete. Staff Name: <br /> EHD U-06 <br /> Snt/15 <br /> Received Time Oct. 12. 2015 1 : 19PM No. 9162 <br />