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Np t V SAN .IOAQUIN COUNTY EHD LOG NUMBER <br /> f� '/ ,� <br /> mAY 0 3 2017 ab f 3p.r^ ENVIRONMENTAL HEALTH DEPARTMENT � G� <br /> u <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 ,__ <br /> ENVIRONMENTAL HEbjVlone: (209)468-3420 Fax: (209)464-0138 Web:www.sacehd.com Email: infoOsicehd.com <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> SPPLICANT: TommPnt BUSINESSIAGENCY:AEI Consultants <br /> ADDRESS: 520 Third St, Ste 209 CITYISTATEIZIP: Oakland, CA 94607 <br /> PHONE(1): 510-907-3145 ext 2111 PHONE(2): 530-295-7941 FAX OR E-MAIL: tlaaoint(aTaelconsultants.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(2091464-0138, mail to the <br /> address indicated above or email to info(a)sicehd.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 $139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> FILES <br /> ®UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) ` CONSUMER <br /> 7 819 E Fremont St Stockton i t'1w� / Cc <br /> ®OTHER CLEANUP SITE(NON-LOP) ��J <br /> ®HAZARDOUS WASTE DAIRT <br /> Z TIERED PERMITTED FACILITY z 500 N Grant St Stockton {, <br /> ®ABOVEGROUND TANK 1"t <br /> PWS <br /> ®UST (MONITORING I REMOVAL) <br /> a 520 N Grant St Stockton <br /> ®HAZARDOUS MATERIALS <br /> ®SPILURELEASE RESPONSE 0 WATER QUALITY <br /> ❑SOLID WASTE FACILITY/VEHICLE 4 532 N Grant St Stockton <br /> ❑FOOD FACILITY �r ®$ITE MITGATION <br /> ❑POOL/SPA 1 <br /> F1 DAIRY s 540 N Grant St Stockton .11ry1 W <br /> ❑LAND USE APPLICATION SITES HOUSING <br /> ❑SEPTIC PUMPER TRUCK/ B <br /> YARD/CHEMICAL TOILETS <br /> ®CUPA <br /> ❑WASTEWATER TREATMENT PLANT ` n <br /> ❑HOUSING ABATEMENT T <br /> MOTELIHOTEL V JJ0 CIUPA-UST <br /> ❑CHICKEN RANCH/DOG KENNEL <br /> B <br /> ❑MEDICAL WASTE FACILITY <br /> ❑TATTOO/BODV PIERCING SOLID WASTE <br /> ❑WASTE TIRE 9 <br /> ❑COMPLAIN <br /> �Accouxnxc <br /> ❑OTHER(PLEASE SPECIFY): <br /> 70 <br /> • --BOXED AREA-EHD USE ONLY'" <br /> 0 Records provided by Staff-PPR Complete. Staff Name: <br />