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JANUA&Y2Z 2016 EHD LOG NUMBER <br /> RECEIVED � SAN JOAQUIN COUNTY <br /> – --- ---Y—G – —ENVIRONMENTAL–HEALTH-DEPARTMENT-- — <br /> JAN 21 2& 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> one-(2n_9) 468=3420 FaxL 09)A6"J-3&WJ eb In x&w sjgoy.-otSLehd <br /> PIERMI <br /> ENVIRONMENTAL HPUBLIC RECORDS RELEASE APPLICATION <br /> PERftIT/SERViCES <br /> APPLICANT: Ryan Sommers BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 3880 South Bascom Avenue CITY/STATE/ZIP:San Jose, CA <br /> PHONE(1): (408)559-7600 PHONE(2):(408)528-5744 FACSIMILE: (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 /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Ryan Sommers DATE January 27 2016 <br /> Electronic Information: ❑ List ❑ Map–Description: <br /> _ FILE ADDRESS EHD USE ONLY <br /> street# Street Name City ❑ Unit 1 <br /> 1. 672 West 11`h Street Tracy, CAJ i <br /> 2. 1129 West 11`h Street Tracy,CA nit2 <br /> 3. (11if ht(f <br /> 4. Unit a 'J <br /> 5. <br /> 6. L;IUnit 4 <br /> 8' -Ls Unit 5 <br /> 9. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> E UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ®SOLID WASTE FACILITnYYNEHIC�j� / . <br /> E OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE '1- CVD�FOl- v"./'r"' ' "+ <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL)G, ❑FOOD FACILITY ❑DAIRY Y--'�-!k <br /> ®ABOVEGROUND TANK UC ❑CHICKEN RANCH/DOG KENNEL E WASTEWATER TREATMENT PLANT <br /> E HAZARDOUS WASTEMAZARDOUS MATERIALV ❑MOTELIHOTEL ❑PUMPER TRUCK(YARDICHEMICAL TOILETS <br /> E TIERED PERMITTED FACILITY OX ❑POOLISPA E LANE)USE APPLICATION SITES <br /> ❑TATr00IBODY PIERCING E COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE 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 (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$125 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 4128114 <br />