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hu <br /> Fillim —1 - SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> MAY O 3 2017 c&4-tef 3pv^ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTAL 4141 Rhone: (209)468-3420 Fax: (209)464-0138 Web:www.sFcehd.com Email: info(&sicehd.com <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> WPPLICANT: Tommy LaPoint BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 520 Third St, Ste 209 CITY/STATE/ZIP: Oakland, CA 94607 <br /> PHONE (1): 510-907-3145 ext 2111 PHONE (2): 530-295-7941 FAX OR E-MAIL: tiaoointfDaeiconsuitants.com <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-$139 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Processed via email by Staff. Dom M DATE May 3, 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 list <br /> 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 above, or email to infoGilsicehd.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 above. <br /> 3. The EHD will notify the applicant if any EHD files exist. An appointment for review wilt 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$139 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 to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> ®UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) / 0 CONSUMER <br /> 7 819E Fremont St Stockton <br /> ®OTHER CLEANUP SITE(NON-LOP) <br /> ®HAZARDOUS WASTE DuaY <br /> ®TIERED PERMITTED FACILITY i 500 N Grant St Stockton <br /> ®ABOVEGROUND TANK 1vc•� <br /> ®UST (MONITORING/REMOVAL) <br /> PWS <br /> 3 520 N Grant St Stockton <br /> ®HAZARDOUS MATERIALS <br /> ®SPILURELEASE RESPONSE <br /> SOLID WASTE FACILnY/VEHICLE ®WATER QBAIItt <br /> ❑ a 532 N Grant St Stockton , �✓ <br /> ❑FOOD FACILITY t�y'r <br /> ❑POOL/SPA M SITE MMGAnox <br /> ❑DAIRY 5 540 N Grant St Stockton <br /> ❑LAND USE APPLICATION SITES <br /> ❑ HOUSING <br /> SEPTIC PUMPER TRUCK/ B ❑ <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTEWATERTREATMENT PLANT ®CUPA <br /> ❑HOUSING ABATEMENT 7 A <br /> MOTEL/HOTEL `�' J 1 <br /> ❑CHICKEN RANCH 1000 KENNEL ®CUPA-UST <br /> 8 <br /> ❑MEDICAL WASTE FACILITY <br /> ❑TATTOO/BODY PIERCING SOLID WASTE <br /> ❑WASTE TIRE g <br /> ❑COMPLAINT <br /> ❑OTHER(PLEASE SPECIFY): ❑ACOoUNTING <br /> 70 <br /> —'BOXED AREA-EHD USE ONLY"" <br /> 0 Records provided by Staff-PPR Complete. staff Name: <br />