Laserfiche WebLink
03/23/2015 13:15 9257466P^9 AEICONSULTANTS PAGE 01/01 <br />EHD LOG NUMBER <br />:� SAN .IOAQUIN COUNTY <br />INN ENVIRONMENTAL HEALTH DEPARTMENT <br />' MAR 2 3 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />ENVIRONMENTAL HEALTH <br />pERMITIRI'_RVIGE.S PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Clinton Look BUSINESS/AGENCY: AEI Consultants <br />ADDRESS: 2500 Camino Diablo CITY/STATE/ZIP: Walnut Creek, CA _ f l7 <br />PHONE (1): 925-746.6016 PHONE (2): FACSIMILE: 925-746-6099 <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- $1 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT_ (.. T DATE 5123115 <br />Electronic Information: ❑ List ❑ Map — Description: <br />J,JtlVr1111. vnw ntljae ur u1Vlflltil1017 r(BgU99i9a: rrom to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />I® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ® MEDICAL WASTE FACILITY ® SOLID WASTE FACILrrYNEHICLE <br />OTHER CLEANUP SrFE (NON -LO P) ❑ HOUSING ABATEMENT WASTE TIRE <br />® UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ FOOD FACILITY ❑ DAIRY <br />ABOVEGROUND TANK ❑ CHICKEN RANCH! DOG KENNEL WASTEWATER TREATMENT PLANT <br />® HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTEUHOTEL ❑ PUMPER TRUCKIYARDICHEMICAL TOILETS <br />® TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br />❑ TATTOO/SODY PIERCING ® COMPLAINTIRESPONSE RECORDS ❑ 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. Fa a 209 4Li -0138 or rngLtofhe add ess Indicat d 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 -EMD USE ONLY'** <br />31f',77 i i���%`lle_ L �JS'� I�Hh 4�1 <br />Records provided by Staff -PPR Complete. Staff Name: <br />e c e i v e d Time—Ma r. 23.-2015' 1:16PM:No.8383— <br />