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07/19/2011 16:18 . 40851:17601 AEI SAN JOSE PAGE 01/02 <br /> EHD LPG NUMBER <br /> RECEIVED <br /> � �'"` � SAN JOAQUIN COUNTY 50q <br /> i )L 19 2011 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St, Stockton, CA 95202-3029 <br /> ENVIRONMENTAL HEALTRe(ephone: (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 CITYISTATEIZIP: San .Tose, CA 95124 <br /> PHONE(1): 531-295-9725 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 ES -$12?�FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ` U/�4 kzndt@aeiconsul.tants .comDATE 7-19-11 <br /> Electronic Information: ❑List[7 Map^Descriptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 9 Street Name City ❑Unit 1 <br /> 1. 232`1 ./ Navy Drive/Charter Way Stockton <br /> 2. 2()5 9,1,X Navy Drive Stockton 'r Unit <br /> . <br /> 3 <br /> r72500 Navy Drive Stocktbri �► (A2 <br /> r4. 2005 Navy Drive Stockton ) puni<a <br /> S, 2041 Navy Drive Stockton <br /> 6. 2025 Navy Drive Stockton �t4 <br /> 2225 / Navy Drive Stockton 1�-� <br /> 8. 2191 / Navy Drive Stockton �' ❑Unit 5 <br /> 9. 231,3✓ Navy Drive Stockton il', <br /> iQ. 2403 ' Navy Drive Stockton. Unit-81 <br /> Specific pate Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUNo TANK(UST)CLEANUP SITE(IOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITY/VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> ( UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ( HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDIGHEMICALTOILETS <br /> ❑TATTOOISODY 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 8:00 AMS-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List uu 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, FaN to 209 or mail to thp,addre"Indica ove,I 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 ton(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 he immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4, Any file not returned in the some 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 /> EHDITONLY <br /> EHD 40-06 07044 0 <br />