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III From:AEI Cons,aitents 408 559 760106/ 015 13:31 #675 P.001 /001 <br /> TE RECEIVED EHD LOG NUMBER <br /> SAN .lOAQUIN COUNTY <br /> ECT JUN 0 2 2015 ENVIRONMENTAL HEALTH DEPARTMENT 9012,60 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Max Martinez BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 3880 S. Bascom Avenue CITY/STATE/ZIP:San Jose, CA 95124 <br /> PHONE (1): 408-559-7600 PHONE (2): FACSIMILE:408-559-7601 <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-$130 FEE(CAS R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS C/�Q <br /> SIGNATURE OF APPLICANT DATE 6/a/IV <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street 9 Street Name City ❑Unit 1 <br /> 1. 1111 Navy Drive Stockton rn S HP <br /> ' 1240 Navy Drive Stockton { r V9l(l <br /> Un 2 <br /> 3. 1055 S. Stockton Street Stockton <br /> 4. 1137 S. Stockton Street Stockton T t Unit 3 <br /> 6. Unit 4 <br /> 7. PA0vatl 15 F11Gs e'10. I C,D <br /> 8. ❑Unit 5 <br /> 9. <br /> 10. <br /> ❑Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYIVEHICLE <br /> THEIR CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT [:1 WASTE TIRE <br /> NDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> BOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ATARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> TIERED PERMITTED FACILITYOOUSPA E]LAND USE APPLICATION SITES <br /> 1­1TATTOOIBODY PIERCING �OMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464.0138 or mail to the address indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm 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 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$125 deposit prior to review. "`BOXED AREA-EHD USE ONLY`" <br /> fa-�-) -Mlle ui �'a�l pNcit t11' E tly ICtn , ' ia. ►.vinn l-2�' �vl <br /> -t - Le4A Vr^ aSteN ;F 41,; o c .e'ce Alt. 10r tie(d( bid Car Ill r. WK , <br /> o^ IAin� 3 q 6 cow 1" 0M 01C(22 ore'n�10 Nv Inter illi n &'t0 ai. <br /> � z C� csu3`6 L �l 5 a� o 03ae '>" of le, r I�wI �. <br /> ❑ Records provided by Stiff-PPR Comple e. s0h <br /> Re e I V �,a�Llel Lt5'C L)�t5�12i/ I1W0 "W p/` Vlti arzana <br /> Received Time Jun. 2. 2015 2; 17RRA o, 8865 <br />