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KLU SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> MAY 0 3 2017 v44er 3pv^ ENVIRONMENTAL HEALTH DEPARTMENT ��yV <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTAL HET1� hone: (209)468-3420 Fax: (209)464-0138 Web:www.sicehd.cbm Email: infono 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: tiapoinl@aeiconsuitants.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 info(dsicehd 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 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 $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 ( P y 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses only, address ranges will not be acce ted <br /> ®UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LDP) - 0 CONSUMER <br /> ®OTHER CLEANUP SITE(NON-LOP) 1 819 E Fremont St Stockton <br /> ®HAZARDOUS WASTE <br /> ❑DAIRY <br /> ®TIERED PERMITTED FACILITY 2 500 N Grant St Stockton ► tY1 <br /> ®ABOVEGROUND TANK <br /> ®UST (MONITORING/REMOVAL) ❑PWS <br /> ®HAZARDOUS MATERIALS 3 520 N Grant St Stockton <br /> ®SPILL/RELEASE RESPONSE <br /> ®WATE0.QUALITY <br /> ❑SOLID WASTE FACILITY/VEHICLE M 532 N Grant St Stockton <br /> ❑FOOD FACILITY <br /> ❑POOL/SPA ®SITE MITIGATION <br /> ❑DAIRY 6 640 N Grant St Stockton r <br /> ❑LAND USE APPLICATION SITES v <br /> ❑SEPTIC PUMPER TRUCK/ 8 HOUSING <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTEWATER TREATMENT PLANT ®CUPA <br /> ❑HOUSING ABATEMENT 7 <br /> F1 MOTEL/HOTEL 'IYZt <br /> CHICKEN RANCH/DOG KENNEL ®CUPA-UST <br /> a <br /> ❑MEDICAL WASTE FACILITY <br /> ❑TATTOO/BODY PIERCING <br /> ❑ $OLI <br /> WASTE TIRE B ❑ O WASTE <br /> ❑COMPLAINT <br /> ❑OTHER(PLEASE SPECIFY): ACCOUNTING <br /> 10 <br /> "'BOXED AREA-EHD USE ONLY" <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br />