Laserfiche WebLink
07/19/2611 16: 18 4085597501 AEI SAN JOSE PAGE 02/02 <br /> PLqEG1_� <br /> EH0 LOG NUMBER <br /> , �'" SAN JOAQUIN COUNTY <br /> `I I: 9 2011 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St, Stockton, CA 95202-3029 <br /> ENVIRUNN4ENTALHEALT�lephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov,org/ehd <br /> PERIM,6TISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Katie Hindt BUSINESS/AGENCY: AE1 Consultants <br /> ADDRESS: 3880 S . Bascom Ave, #108 CITY/STATE2,IP: San Jose, CA 95124 <br /> PHONE(1): 831-295-9725 PHONE(2): FACSIMILE: 408-559-7601 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 buviness days from date of application submittal•'Tettfaflve only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITEE $1 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT khindt@aeiconsultants,ccmDATE 7-19-11 <br /> Electronic Information: ❑ List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streat# Strmt Name City Unit 1 <br /> 1. 1477 Tillie lewis Stockton <br /> 2. 1433 tillie lewis Stockton OUnit2 <br /> 3. 'unknown Stockton ordnance depot Stockton .,. <br /> 4• 1 I i C nil Unit 3 I <br /> 5. <br /> 6. C'lnit 4 <br /> 7. <br /> 8, ❑unit 5 <br /> 10. ©unit s V <br /> Specific Date Range of Information Requested: From to p/ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(FOP) El HOUSING ABATEMENT ❑SOLID WASTE FACILITY/VEHICLE 11,� ,\� <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILrY ❑WASTE TIRE <br /> [UNDERGROUND TANK(MONITORINGIREMOVAQO`- ❑DOG KENNEL []DAIRY <br /> HAZARDOUS WASTE GENERATOR CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> [TIERED PERMITTED FACILFFY MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 6:00 AM-5:00PM(EXCLUDING HOL2AY8) <br /> 1. List up to tet,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(20914640138 or m it to the addran dicated 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 files 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 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$122 deposit prior to review_ <br /> Rqe ONLY <br /> YI <br /> I ;EHO , <br /> 0 �fe(I ,. ♦;(C u[I��' 2- 115411 07J29f1U <br />