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RECEIVEDEHD LOG NUMBER <br /> C 3 rl . SAN JOAQUIN COUNTY <br /> OCT 2 � 2016 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> � ENTelephone: (209)468-3420 Fax: (209)464-0138 Web:www,sjgov.org/ehd <br /> 111th" t"�`t-1'Fillllr€ PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tommy LaPoint BUSINESSIAGENCY: AEI Consultants <br /> ADDRESS: 520 3rd Street,Suite 209 CITYISTATEIZIP: Oakland,CA 94606 <br /> PHONE(1): 510-907-3145x2111 PHONE(2): 530-295-7941 FAX OR E-MAIL: tlapoint@aeiconsultants.com <br /> Please,allow-=90 business days from date of application submittal forthe 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 OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT THOMAS JAMES LAPOINT DATE 10127/2016 <br /> 1. List up to ten addresses in the space below. Select the type(s) of files from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 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$130 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map--Description: <br /> Specific Date Range of Information Requested: From 1901to 2016 <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> M UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) 555 North Guild Avenue Lodi CONSUMER <br /> ❑X OTHER CLEANUP SITE(NON-LOP) �i��Lh� /� f <br /> R HAZARDOUS WASTE 11 X1111 llr''f l (]AIRY III <br /> ®TIERED PERMITTED FACILITY 2 <br /> 400 North Cluff Avenue Lodi <br /> ©ABOVEGROUND TANK 11`1*/I! 7 Y kY w c <br /> Fj UST (MONITORINGI REMOVAL) 3 520 North Cluff Avenue Lodi Q PWS <br /> y� <br /> HAZARDOUS MATERIALS <br /> 1 <br /> ❑X SPILLIRELEASE RESPONSE <br /> WATER QUALITY <br /> Q SOLID WASTE FACILITY I VEHICLE 4 <br /> FOOD FACILITY <br /> ® <br /> POOL/SPA $iTE MITIGATI9N <br /> ❑x DAIRY b <br /> LAND USE APPLICATION SITES <br /> HOUSING <br /> ©SEPTIC;PUMPER TRUCK I 6 <br /> YARD 1 CHEMICAL TOILETS <br /> x❑WASTEWATER TREATMENT PLANT CUPA <br /> HOUSING ABATEMENT 7 <br /> ® <br /> MOTEL/HOTEL <br /> ❑X CHICKEN RANCH I DOG KENNEL CUPA-144a.UA7 <br /> 8 <br /> FX�MEDICAL WASTE FACILITY <br /> TATTOO/BODY PIERCING <br /> SOLID WASTE <br /> X�WASTE TIRH B <br /> COMPLAINT <br /> OTHER(PLLASE SPECIFY): I]ACCOUNTING <br /> 10 <br /> —BOXED AREA-EHD USE ONLY"` <br /> >>Z c { <br /> ❑ Records provided by Staff-PPR Complete. staff Name: lekn <br /> EHD 48-96 <br />