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PR <br /> DATE RECEIVED SAN JOAQUIN C86S8 'ON1M1dC '' Slob `$Z 'a dy aW11l P;Al;);d <br /> RECEI�����E ENVIRONMENTAL HEALTH DEPARTMENT <br /> VED�! 1868 East Hazelton Avenue, Stockton, CA 95205-6232 `g <br /> APR 2 8 2015 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> IS <br /> ENVilfiW1;P` IALIr;FTI PUBLIC RECORDS RELEASE APPLICATION <br /> PERM)71SERVICES Jessica Gonzalez <br /> APPLICANT:jgonzalez(ID aeiconsultants_com BUSINESSIAGENCY: AEI Consultants <br /> ADDRESS: 2500 Camino Diablo CITYISTATE/ZIP:J Walnut Creek, CA 94597 <br /> PHONE (1): 925-746-6050 PHONE (2): FACSIMILE:925-746-6099 <br /> TENTATIVE`APPOINTMENT DATE: Pleasecall Time: <br /> (Please allow 10 bust near days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$126 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> 5 t# Street Name .City Q Unit t <br /> 1. 21 Paddock Place Lodi <br /> /J / unincor orated ' 1 <br /> `O 2. <br /> �Ao 3• 4IZy/15 L?PS ' i Ali i7i t1 <br /> 4. ! jUnit <br /> $.6'7.89.10. ja <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY ®SOHD WASTE FACILfiYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTETIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ®WA$TEWATLR TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUSMATERIALS ❑MOTEUHOTEL ❑PUMPERTRUCKNARDICHEMICALTOILETS <br /> ®TIERED PERMITTED FACILITY. ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOCIBODY PIERCING ❑COMPLAINVRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 6:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> I, 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-for additional assistance with file addresses, contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. 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 flies will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file is available. <br /> 4. Any Flle 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. 'pnaNia'w�wdss. + -'" t <br /> '...-91()e�: ILAr'+M, '.I�.�.QIAS s✓FO:Gidi:``-4R�. v^r���-•;' ��' '�>.fe '. ..'Vti.i-..,. .-.n,�'.,,;.. _{w�.�at . .' 7':'M,:. . Itu�....; <br /> ."t.". ..n.`As'e. ,.o_....7. w1✓r.;,''Y�L^Y h .t"'x: � <br /> I. ✓.� ', .-r. �w _ �'b,N.a.. �I ',x i1(yJR� � t> T ;,s YY..a4 a 4 i � '.r G;H4"^YiW.•v��'4 !- � <br /> �% 't�'3aMAt6I•d6d..: .. , "Mammo. . _ _� ..-. { ,J _Y�-ti«�..!':i:...:.._.1:_.a'li�■ <br />