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SANsJOAQUIN RECEIVE p <br /> �ir�onmental Health Department <br /> C O U N T Y d PUBLIC RECORDS RELEASE APPLICATION <br /> SEP � 5 2011(4,8 , <br /> Greatness grows here. 9-1 R <br /> ENVIRONMENTALHE'M1.TH EHD LOG NUMBER: 87022 <br /> APPLICANT: MEGAN NOLET BUSINESS/AGENCY: AEI CONSULTANTS <br /> ADDRESS: 3880 S BASCOM AVE, STE 109 CITYISTATEIZIP: SAN JOSE, CA 95124 <br /> PHONE (1): 408-559-7600 PHONE (2): FAX OR E-MAIL: 408-559-7601 <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 /> SIGNATURE OF APPLICANT Processed via email by Staff. Dom M DATE September 5,2017 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s) of files from the <br /> Fist below by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138, mail to the <br /> address indicated below, or email to info(&sicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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$152 deposit prior to review. 9/1� <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 to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT <br /> FILES Specc addresses only, address ranges will not be accepted) EHD USE ONLY <br /> ® Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) CONSUMER <br /> ®Other Cleanup Site(Non-LOP) 440 INDUSTRIAL DR STOCKTON <br /> ®Hazardous Waste <br /> DAIRY <br /> ®Tiered Perrnitted Facility 3412 PERLMAN.DR STOCKTON <br /> ®Aboveground Tank ft YIN <br /> ® UST (Monitoring/Removal) F—]Pws <br /> ® Hazardous Materials 2120 BOEING WAY STOCKTON <br /> ®Spill t Release Response <br /> Solid Waste Facllity/vehicle ®WATER QUALITY <br /> ® 4510 ALiTALIA AVE STOCKTON NW <br /> - O /E}0❑Food Facllity (� <br /> E] Pooi I Spa ®SITE MITIGATION <br /> F] Dairy s 4440 ALITALIA AVE STOCKTON <br /> ® Land Use Application Sites I f i 1!t r /f/}� <br /> � <br /> X 1 <br /> �I®✓HouslNe <br /> ® Septic Pumper Truck/ 4800 S AIRPORT WAY STOCKTON ! <br /> Yard/Chemical Toilets / i �A U' &C <br /> ®Wastewater Treatment Plant c l{�11i ®CUPA <br /> ®Housing Abatement 7 ASTIHMIHW <br /> ® Mote4Hotel <br /> CUPA <br /> Chicken Ranch!Dog Kenne! ' I <br /> ® e �_2�_ IJS <br /> Medical Waste Facility <br /> ❑Tattoo/Body Piercing <br /> ®SOLID WASTE <br /> ❑Waste Tire g <br /> ® Complaint <br /> Other(Please Specify): ❑ACLO NTING <br /> 70 1 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> 9!512017—EMAILED APP TO CONFIRM RECEIPT OF PRRA, INFORM THEM OF DELAY, AND THAT WE HAVE FILES, DOM M <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />