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Fro m.,S 10 3 3 a.'319 P 06/06/2016 is:06 0204 R.0011001 <br /> V E D EHD LOG.NUMBER <br /> iJUN �� W SAN JOAQUIN COUNTY <br /> 0 2016 ' JAXNVIR-ONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> (209) 468-3420 Fax: (209)464-0138 Web: w-ww.sjgov.crg/ehd <br /> PERMITtSEF'Or—ES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> S/AGENcy. <br /> APPLICANT: Sarah Canniff BUStNES . AEI Consultants <br /> ADDRESS: 520 3rd Street, Suite 209 G[TYISTATEIZIP: Cakland CA 94607 <br /> PHONE(1): 510-907-3145 ext 2108 PHONE (2): FACSIMILE: 510 338 3192 <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 REQUET-$130 FEE(CASH OR CHECK ONLY)-REQUEST FROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 6/6/2016 <br /> FElectronic Information: El List[I [Aap—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 9 Street Name City <br /> 7777 West 11 th/Eleventh Street Tracy <br /> 2. 7777 East I I th/Eleventh Street Tracy it I <br /> 3. 1 Ly unit2 <br /> - 4.7 Unit 2H <br /> 6. unit 3 <br /> 7. EJ.Unit 4 <br /> 8. MISITE MITIGATION <br /> Specific Date Ran-ye of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(I-OF) NJ MEDICAL WASTE FACILITY SOLID WASTE FACLITYNEH <br /> ODQ OTHER CLEANUP SITE(NoN-LOP) HOUSINGABATEMENTWASTE TIRE -1, f J I61 <br /> UNDERGROUND TANK(MOWTORINGIREMOVAI-)- FK1 FOOD FACILITY DAIRY LCX "I <br /> -,, - <br /> R <br /> A <br /> M ABOVEGROUND TANK W CHICKEN RANCHI DOG KENNEL WASTEWATER REATIVIENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MAT-ER3ALS9- X Mor]ELIHOTEL PUMPER TRUCKiYARDICHEMICAL TOILETS <br /> TIERED PERMITTED FAC!LIT',�"— W POOLISPA LAND USE APPLICATION SITES <br /> TATTOOIBODY PIERCING N COMPLAINTIRESPONSE 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 --rom the list above by checking the appropriate <br /> box(es). At least one fife 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 <br /> pT will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact Etat]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. '"BOXED AREA-EHD USE ONLY- <br /> 036-7 Yb NAA) 62 <br /> 0 Records provided by Staff-PPR CoMplete. Staff Name: <br /> 711/15 <br /> END 48-06 <br /> Received Time Jin, 6. 20 1 6(-�3.02PM 'O- 0 843 <br />