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07/19/2011 16:18. 4085x^7601 AEI SAN JOSE PAGE 01/02 <br />EHD LOG NUMBER <br />RECEIVED $AN JOAQUIN COUNTY <br />JUL 19 2011 ENVIRONMENTAL. HEALTH DEPARTMENT 5(4q <br />600 East Main St. Stockton, CA 95202-3029 <br />ENVIRONMENTAL HEALTRe I ep hone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Katie Hindt BUSINESSIAGENCY: ,A,EI Consultants <br />ADDRESS: 3880 S . Bascom Ave, 4106 CITY/STATE/ZIP: San Joe e , CA 95124 <br />PHCINE(1): 831-295-9725 PHONE (2), _ FACSIMILE: 408-559-7601 <br />TENTATIVE* APPOINTMENT DATE: Time: <br />(Please allow 10 business days from date of application submittal - •Tentative only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE �Q ES q$1AFEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OFAPPLICANT � 1 hindt@, iconsultants.comDATE 7-19-11 <br />Electronic Information: ❑ List D Map - Description: <br />irn <br />FILL= ADDRESS EHO USE ONLY <br />Street # Street Name city ❑ Unit 1 <br />1, <br />2324 <br />Navy Drive/Charter Way <br />Stockton <br />1 '� <br />'r Unit2 <br />�rI ({,,2 <br />) [�llnitd <br />nit4 <br />2. <br />3. <br />2059 / <br />2500 <br />Navy Drive <br />Navy Drive � <br />Stockton <br />Stockton. <br />q, <br />g <br />2405 <br />2041 <br />Navy Drive (� <br />Navy Drive <br />Stockton <br />Stockton <br />g <br />2025 <br />Navy Drive <br />Stockton <br />7, <br />2225 <br />Navy Drive <br />Stockton <br />aid <br />r ❑ unit$ <br />8. <br />2191 <br />Navy Drive <br />Stockton <br />g, <br />231,3 ✓ <br />Navy Drive <br />Stockton�l <br />unit6 <br />1Q. <br />2403 <br />Navy Drive <br />Stockton <br />Specific fate Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />I UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITYNEHICLE <br />OTHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY ❑ WASTE TIRE <br />[ UNDERGROUND TANK (MONaoRINGIREmvAL) ❑ DOG KENNEL ❑ DAIRY <br />HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br />[],TIERED PERMITTED FACILITY ❑ MOTELMOTEL ❑ PUMPER TRUCKIYARO/CHEMICALTOILETS <br />❑ TATTOO/SODY PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AvAjLABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (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 f2091464-0138 or mail to thp, 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 EMD 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 EMD 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 />