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05i/�E2C2/2014 17:57 92574yi099 AEI CONSULTANJ, PAGE 01/01 <br /> VED" SAN jOAQUIN COUNTY EHD LOG NUMBER <br /> A 11�.VL� ENVIRONMENTAL HEALTH DEPARTMENT �� / e�� <br /> MAY 2 3 2014 1865 East Hazelton Avenue, Stockton, CA 95205-6232 7 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMITSERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Sarah Canniff BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 2500 Camino Diablo CITY/STATE/ZIP: Walnut Creek, CA 94597 <br /> PHONE(1): 926.746-6041 PHONE (2): FACSIMILE:925-746.6099 <br /> TENTATIVE*APPOINTMENT DATE: Please call Time: <br /> (Please allow 10 business days from date of application submittal-'7ontative only-must be confirmed) <br /> ❑ CHECK OOX TO EXPEDITE REQ ST• 12 EE(CAS OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 5/2212014 <br /> Electronlc Information: ❑ List Ef Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City _ _ 0 Unit 1 <br /> 1. 500 North Grant Street ��T Stockton N (W No C0/9 f � <br /> 2. 540 North Grant Street Stockton + nH; / <br /> 3. 819 East Fremont 5tre ockton <br /> 4. 501.599(odd) NorthAuror1L I ockto A)Or1YJ _ puncta <br /> to 5. 801.899(odd) East Fremont (0" Stockton <br /> ` 6. 500.598(even) North Grant Street Stockton /Unit 4 <br /> QC 7. 800.898(even) East Oak Street N, Stockton ° do w/5� <br /> Or $• nti—ne _„_0 ti o(i�Lg1C "_ - 51'I _ unn <br /> acf_d s ssti s� ""t"� L <br /> 10. m a I�I-(x r Way 1v a as 46.i S 1 A`"rO`°� nR e <br /> .S� peclnc Date Range,of Intomudlon Requested: From <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ti UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTEFACILITY ®SOLDWASTE FACIUTYMNig -I-C,QO- <br /> :L OTHER CLEANUP SITE(NDN-LOP) [:1 HOUSING ABATEMENT ®WASTE TIRE ]b f1�fS /Wl i 1 <br /> UNDERGROUND TANK(MONRORINGIREMOvAL) LlFOOD FACILITY ❑DAIRY y <br /> q ABOVEGROUND TANK ❑CHICKEN RANCH[DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> C HAZARDOUS WASTEIHA?ARDOUS MATERIALS ❑MOTEL/HOTEL r❑r-7 PUMPER TRUCKNARDICHEMICAL TOILETS <br /> TIERED PERMrrrED FACILITY ❑POOL/SPA IJ LAND USE APPLICATION SITES <br /> TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> 7- <br /> 0.� WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM•5:00PM(EXCLUDING HOLIDAYS) <br /> :r+ 1. List uo to ten addresses in to space above. Select the type(s)of files from the list above by checking the appropriate <br /> Som box(es). At least one file type MUST be selected. Fax to 12091464-0136 or mall to the address indi ted above._ Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact to EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> .b,%,�2. The EHD will notify the applicant If any EHD flies exist. An appointment for review will be confirmed approximately ten(10) <br /> 111 t4 ' days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> �pN� should be scheduled accordingly. <br /> t+• 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> bmitted when the <br /> e Is available. <br /> 9 Future file rele not views bturnedyte ams applicant may require a$125 depn as relcused will be osit t prior toanized yEHD staff review. at�eo oxpensa of the applicant <br /> 101 <br /> . . . <br /> +:• i" u' • .i, -.,.._ rxvp Tie ^ i .. <br /> : <br /> i <br /> Received Mme 29 2014!rb;91� an <br /> .• <br /> x.,.: : • <br /> 6-6-1u--IrONOP �'0� Sz0 Fxldit uhf ' Sly .-8. i}W:,..1; 'sral� <br />