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KI <br />ISA <br />KA <br />,V1 <br />i�J S <br />DATE RECEIVED EHD LOG NUMBER <br />6 � b SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT- <br />JUN2015, 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />�. <br />�,d elephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd � <br />" �` P`ON iEI'sTl <br />REAL � <br />PCEP1UTIGE CE, PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Megan Nolet SUSWESS/AGENCY: AEG Consultants <br />ADDRESS: 3880 S. Bascom Avenge, 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 />` <br />FILE ADDRESS <br />EHD USE ONLY / <br />(Unit 1 <br />Street # <br />Street Name <br />City <br />1.y <br />2681 <br />N Tracy Blvd <br />Tracy <br />APN: 214-200-53 <br />2. <br />2683 <br />N Tracy Blvd <br />APN: 214-200-53 <br />Tracy <br />9/Unit 2 <br />3. <br />2685 <br />N Tracy Blvd <br />APN: 214-200-53 <br />Tracy <br />tE� <br />� <br />[ Unit 3 <br />4. <br />2687 <br />N Tracy Blvd <br />APN: 214-200-53 <br />Tracy <br />N Tracy Blvd <br />Tracy <br />APN: 214-200-53 <br />N Tracy Blvd <br />2691 <br />Trac <br />y�� <br />ri <br />APN: 214-200-53 <br />v C7V� 1 ®emf a <br />7. <br />2693 <br />N Tracy Blvd <br />APN: 214-200-53 <br />Tracy <br />i <br />GL—n—ILP � <br />/ <br />[/Unit 5 <br />2539 <br />N Tracy Blvd <br />APN: 214-200-53 <br />Trac y <br />9. <br />Tracy <br />&;� <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) ElFOOD FACILITY <br />® ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL <br />® HAZARDOUS WASTE/HAZARDOUS MATERIALS ® MOTEL/HOTEL <br />® TIERED PERMITTED FACILITY ❑ POOLISPA <br />❑ TATTOOIBODY PIERCING ® COMPLAINT/RESPONSE RECORDS <br />to ALL <br />® SOLID WASTE FACILITYIVEHICLE <br />❑ WASTE TIRE <br />® DAIRY <br />® WASTEWATER TREATMENT PLANT <br />® PUMPER TRUCKIYARD/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 />"A <br />?fin <br />