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SAN JOAQUINRECEIVED p <br /> E vironmental Health Department <br /> --COUNTY— OCT G 4 201 PUBLIC RECORDS RELEASE APPLICATION <br /> °� �7z17 <br /> • Greatness grows h ere.ENVIRONMENTAL HEALTH <br /> PERMITISERV!CES EHD LOG NUMBER: <br /> APPLICANT: Megan Nolet BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 3880 S. Bascom Ave, Suite 109 CITYISTATEIZIP:San Jose, CA 95124 <br /> PHONE(1): (408) 559-7600 PHONE(2): FAX OR E-MAIL: nanolet®aeiconsultants.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 /> SIGNATURE OF APPLICANT Megan Nolet DATE 10/4/2017 <br /> 1. List un to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list 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 below,or email to info(&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 below. <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$152 deposit prior to review. Ur <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 ALL to <br /> ALL <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT y g 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(LOP) ❑CONSUMER <br /> Other Cleanup Site(Non-LOP) <br /> 665 East Ro French Camp <br /> • ®Hazardous Waste I r 1) I: DAIRY <br /> Tiered Permitted Facility 2 865 Roth Road French Camp <br /> ®Aboveground Tank 0,0, OJ 0 <br /> UST (Monitoring/Removal) 889 Roth Road French Camp W P) fCd S <br /> Hazardous Materials <br /> ® jrf <br /> Spill/Release Response n Aral Quurtr <br /> Q (J Solid Waste Facility I Vehicle 4 I ! 7 <br /> ❑Food Facility L <br /> Pool/Spa !71 u ! Sne Mnionnory <br /> ®Dairy a �/ !• <br /> FA Land Use Application Sites HOUSING <br /> ®Septic Pumper Truck/ a I KJT.}y/e <br /> Yard I Chemical Toilets I I ,"' -.) <br /> ®Wastewater Treatment Plant I t i7 UPA <br /> F]Housing Abatement rC-� AST/HM/HW <br /> ❑Motel/Hotel `ter t <br /> UPA <br /> E]Chicken Ranch/Dog Kennel LIST <br /> a <br /> ®Medical Waste Facility <br /> Tattoo/Body Piercing Souo wnsre <br /> ®Waste Tire 9 <br /> ®Complaint <br /> Other(Please Specify): ❑ACCOUNTING <br /> to <br /> ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD48.06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />