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Ban From:AEI Consultants 408 559 7601 08/2f"2015 13:34 #763 P.001/001 <br />® K <br />® <br />=NED EHD LOG NUMBER. <br />E SAID JOAQUIN COUNTY <br />� ?Ntl j <br />ENVIRONMENTAL :-HEALTH DEPAP T N1r=?J T <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />NVII �NNIENTA 001e: (209) 468-3420 l=ax: (209) 464-0138 V�leb: wvvv✓.sjgov,org/ehd <br />PERMITISERVICES' PUBLIC RECORDS RELEASE APPLICATION <br />. - ��;=.ter. (��'',-•:�„^-=�,��;^r�1 � <br />APPLICANT: Max Max Martinez (� j ; I''`I �,;UIZ L BUSINESS/AGENCY: AEI Consultants <br />ADDRESS: 3880 S. Bascom Avenue CITY/STATE/ZIP: San Jose, CA 95124 <br />NO <br />PHONE (1): 408-559-7600 <br />EMUS] <br />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 qR CHeK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE q jar)j`5 <br />Electronic Information: ❑ List ❑ Map — Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />❑ Unit 1 <br />_ <br />Street # <br />Street Name <br />city <br />1. <br />.3010 <br />Grant Line <br />Tracy <br />M 5T %La <br />� (/LS�-Cn W� ..•Ej Unit 2 <br />2,lq <br />2. <br />--}}Road / <br />, <br />iJfl9UWe� 'l h -(] Unit 3 <br />4. <br />4' <br />l / <br />- <br />o. <br />,Q Unit <br />6• <br />7. <br />r <br />fs+F <br />8. <br />9. <br />Unit 6 <br />10. <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 />® A80VEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL <br />® HA-zARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTELIHOTEL <br />y Ti.RED PERMITTED F"ILi.Y ❑ PvvLivPA <br />❑ TATTOO/BODY PIERCING ❑ COMPLAINTIRESPONSE RECORDS <br />M <br />❑ SOLID WASTE FACILITYNEHICLE <br />❑ WASTE TIRE <br />❑ DAIRY <br />® WASTEWATER TREATMENT PLANT <br />❑ PUMPER TRUCKIYARD/CHEMICALTOILETS <br />❑ LAt:D _PPL CATION 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) 454-0138 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 />0 1 i L 51 ZOUO In R to lle faf T010 ro'C-e- .6;Aea ma UA <br />4w Fltc '5,010 okeJ <br />❑ Records provided by Staff -PPR Complete. Staff Name: <br />EReceived Time Aug.20, 2015 2:20PM No.9382 4,28/t4 <br />