Laserfiche WebLink
1 05/06/2015 13:31 92574660 AEICONSULTANTS PAGE 01/01 <br /> EHD LOG NUMBER <br /> TE RECEIVED SAN JOA( UIN COUNT <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> �� 6 ENV <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> (3( &phone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org!®hd <br /> ' <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> BUSINESSIAGENCY: AMConsultants <br /> APPLICANT:Clinton look <br /> CI-I'YISTATEIZIP: <br /> ADDRESS: 2500 Camino Diablo Walnut Creek CA <br /> FACSIMILE;925-7466099 <br /> PHONE(1): PHONE (2): <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 REQU T-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> - DATE 5/612015 1�-t <br /> SIGNATURE OF APPLICANT <br /> Electronic Information: ❑ list LJMap-Description: <br /> EHD USE ONLY <br /> FILE ADDRESS <br /> Street <br /> Street Name city []Unit 1 <br /> 1. 5302 Pacific Avenue Stockton f� � <br /> Stockton VV 6� i0a c� ( ,,'. 4k., � <br /> 2. 5308 Pacific Avenue h . <br /> 3. 5350 Pacific Avenue Stockton <br /> Pacific Avenue Stockton ��/ y _0 Unit 3 <br /> 4, 5400 _• <br /> Stockton <br /> 5. 5420 Pacific Avenue � <br /> 6. 5110 Pacific Avenue Stockton i "°° �4 y . A-sl a,C � Uni k <br /> 7. 5151 Pacific Avenue <br /> Stockton �"^ T d <br /> Stockton aJ �, �'"i unlit' <br /> 8. 5757 Pacific Avenue <br /> 9. 221 <br /> West Yokuts Avenu® Stockton ' I11,05)L!)4160 <br /> Stockton <br /> 10. 5223 Claremont Avenue <br /> to <br /> specific Date Range of Information Requested: From <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES SOLID WASTE FACILITYIVEHICLE <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY <br /> ® <br /> ❑hI0U51NQ ABATEMENT WASTETIRE <br /> ®OTHER CLEANUP SITE(NON-LOP) DAIRY <br /> Fool)FACILITY WASTEWATER TREATMENT PLANT <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) p CHICKEN RANCHI DOG KENNEL �I <br /> ABOVEGROUND TANK MOTELIHOTEL ®PUMPER TRUCKIYARDICHEMICALToiLETS <br /> ®HAZARDOUS WASTE(HA7ARDOUS MATERIALS �POOl1SPA �LAND USE APPLICATION SITES <br /> ®TIERED PERMITTED FACILITY ( <br /> OTHER OPLEASE SPECIFY) <br /> ❑TATT00(BODY PIERCING �CDMPLAINTIRESPONSE RECORDS ® <br /> LABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAI <br /> ro riate <br /> 1. List u to on ad r see In the space aBove. Select the t}/pg))Of files 0138rp mail fvm the gt abovethe address ndlkatndh above. Address <br /> box(es). At least one file type MUST be selected. Fa <br /> ranges will not be accepted.Applications received after 3:00 prn will be processed the next 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 r®view 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. applicant.t thek expense of the <br /> 4. Any file not returned in the same condition as require a$125 deposit p i®to reviesed will be reorganized by EKD w.aff a607ED AREA_ D m ONt.Y�� <br /> Future file reviews by the same applicant may q p <br /> qt� ( 8�,t0o 2 V� e-' .— co <br /> �i�1 e <br /> o co )rov"IA <br /> r�v �oG�iCOe -'a �®� r,�lG(�Gty �'��r vim, t�. rovl+�e� Ag-� �'t(e s,Sr slu Qac,e�6s vlsc <br /> (��etk�. �a �!J See C� 1��-ke -�-?�3 "� 11#\Z �11� Lo✓, <br /> � +ihl <br /> aV°de cPG 0 S 0063u W-1K&'too <br /> rJOl 854 Staff Nam®: <br /> 1 : 314004 <br /> r2l 7aRecei � o" <br />