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pk �V y SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> MAY U 3 2017 o&tef 3pv^ ENVIRONMENTAL HEALTH DEPARTMENT <br /> i �D 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTAL HEAflli hone: (209)468-3420 Fax: (209)464-0138 Web:www.sicehd.com Email: infoOsicehd.com <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> WPPLICANT: Tommy LaPoint BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 520 Third St,Ste 209 CITY/STATEIZIP: Oakland, CA 94507 <br /> PHONE(1): 510-907-3145 ext 2111 PHONE(2): 530-295-7941 FAX OR E-MAIL: tiaoointCDaeiconsultants.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 f209)454-0138, mail to the <br /> address indicated above, or email to infolaDsicehd.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-5:0013M(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) 11 <br /> CONSUMER <br /> 1 819E Fremont St Stockton® t C 1�('^/,OTHER CLEANUP SITE(NON-LOP) <br /> ®HAzARDOUS WASTE []DAIRY <br /> ®TIERED PERMITTED FACILITY 2 500 N Grant St Stockton ► A�.r <br /> ®ABOVEGROUND TANK <br /> ®UST (MONITORING/REMOVAL) ❑PWS <br /> ®HAzAR000S MATERIALS 1 3 520 N Grant St Stockton <br /> ®SPILURELEASE RESPONSE <br /> SOLID WASTE FACILITY/VEHICLE ®WATER QUALITY <br /> ❑ a 532 N Grant St Stockton <br /> ❑ <br /> FOOD FACILITY t�'r <br /> POOL/SPA ®SITE MITIGATION <br /> F1 DAIRY 5 540 N Grant St Stockton r <br /> 8 <br /> ❑LAND USE APPLICATION SITES v <br /> SEPTIC PUMPER TRUCK/ HOUSING <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTEWATER TREATMENT PLANT ®CUPA <br /> ❑HOUSING ABATEMENT T A 'n <br /> MOTEL/HOTEL <br /> ❑CHICKEN RANCH/DOG KENNEL ®CUPA-UST <br /> 8 <br /> ❑MEDICAL WASTE FACILITY <br /> ❑TATTOO/BODY PIERCING <br /> SOLID WASTE <br /> ❑WASTE TIRE 9 <br /> ❑COMPLAINT <br /> ❑OTHER(PLEASE SPECIFY): ACCOUNTING <br /> 10 <br /> Nil "'BOXED AREA-EHD USE ONLY"' <br /> 11 Records provided by Staff-PPR Complete. Buff Name: MQiL <br />