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DATE t&;tI <br /> c SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> JUL 2 1 22017 8'1 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> W*_92(tiW209)468-3420 Fax: (209)464mvmNmw -0138 Web:www.sacehd.com Email: info ansjcehd.com <br /> Aom, pElyarRAwCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: MEGAN NOLET BUSINESS/AGENCY: AEI CONSULTANTS <br /> ADDRESS: 3880 S BASCOM AVE, STE 109 CITY/STATE/ZIP: SAN JOSE, CA 95124 <br /> PHONE(1): 408-559-7600 PHONE (2): 408-559-7601 FAX OR E-MAIL: MNOLETPAEICONSULTANTS.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-$152 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT PROCESSED VIA EMAIL BY STAFF. DOM M DATE JULY 21, 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 (209)464-0138.mail to the <br /> address indicated above, or email to info(nDsicehd.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. �5 <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 <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> UNDERGROUND TANK Street# Street Name City <br /> CLEANUP SITE(LOP) CONSOMER <br /> 1 17720 SHIDELER PKWY LATHROP y/ ^ <br /> ®OTHER CLEANUP SITE(NON-LOP) fI <br /> ®HAZARDOUS WASTE <br /> HAIRY <br /> ®TIERED PERMITTED FACILITY 2 17722 SHIDELER PKWY LATHROP ►(f(�� <br /> ®ABOVEGROUND TANK �V <br /> ®UST (MONITORINGMATERIALS <br /> REMOVAL) ,[J PWS <br /> ®HAL1RDous MATERIlLL3 G 17724 SHIDELER PKWY LATHROP I wf tnif� (//�rp♦N/`lL(/QJ'1__ <br /> ®SPILURELEASE RESPONSE 0 f�/ <br /> ®SOLID WASTE FACIUDY/VEHICLE C 17726 SHIDELER PKWY LATHROP ,ryryt! ®WATE uALITY <br /> ❑FOOD FACILITY ` 1/ <br /> ❑POOL/SPA I /t _ N SITE MITIGATION <br /> F1DAIRY 5 17728 SHIDELER PKWY LATHROP <br /> ®LAND USE APPLICATION SITES t��-- "" , <br /> ®SEPTIC PUMPER TRUCK/ JJJ 6 17730 SHIDELER PKWY LATHROP ^1i r <br /> 04 <br /> YARD/CHEMICAL TOILETS OrT__ =1 (g(701, <br /> ®WASTEWATER TREATMENT PLANT j E CUPA , <br /> ®HOUSING ABATEMENT 7 17732 SHIDELER PKWY LATHROP <br /> ®MOTEIMOTEL 1�1" <br /> CHICKEN RANCH/DDG KENNEL E CUPA-UST <br /> a 17734 SHIDELER PKWY LATHROP <br /> ®MEDICAL WASTE FACILITY <br /> ❑TATTOO/BODY PIERCING <br /> N SOLID WASTE <br /> ❑WASTE TIRE 9 17736 SHIDELER PKWY LATHROP <br /> ®COMPLAINT <br /> ❑OTHER(PLEASE SPECIFY): ACCOUNTING <br /> 10 17738 SHIDELER PKWY LATHROP <br /> —BOXED AREA-EHD USE ONLY" <br /> 7/21/2017—EMAILED APP TO REVISE REQ, OR BATCH PROCESSING IS NEEDED FOR THE 22 REQ ADDRS.APP WILL DO <br /> BATCH PROCESSING. DOM M <br /> 2OF3 <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> EHD 48-06 <br />