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DA = IsE "� ,: EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> F c: ENVIRONMENTAL HEALTH DEPARTMENT <br /> JjfN? 1868 East Hazelton Avenue, Stockton, CA 95205-6232fi <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> -FvVIRQMMILI TAI_I o it i�� PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Clinton Look BUSINESSIAGENCY: AEI Consultants <br /> ADDRESS: 520 3rd Street, Suite 209 CITY/STATE/ZIP: Oakland, California 94607 <br /> PHONE(1): 510-907-3145 x2104 PHONE(2): FAX OR E-MAIL: CLOOK@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 /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 7/14/2016 <br /> 1. List up to ten addresses in the space below. Select the type(s)of files from the list below 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 kvill 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 krvill 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$130 deposit prior to review. <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 <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES Edi® USE ONLY <br /> ®UNDERGROUND TANK(UST) Street# Street Name City <br /> _ CLEANUP SITE(LOP) V/ <br /> �js�,►I �CONSUMER <br /> 1900 North Church StreetAo <br /> HAZARDOUS WASTE <br /> DAIRY <br /> TIERED PERMITTED FACILIC�' I 2 17 Louie Street <br /> �A,BOVEGROUND TANK Lodi <br /> UST (MONITORING/REMOVAL) <br /> C PLIC <br /> HAZARDOUS MATERIALS 3 <br /> SPILL/RELEASE RESPONSE <br /> 1 West Turner Road Lodi <br /> WATER QUALITY ` <br /> SOLID WASTE FACILITY/VEHICLE 4 110 ��� <br /> ❑FOOD FACILITY East Turner Road Lodi - T 1 �, /G.-0 <br /> ❑POOL/SPA SITE MITIGATION <br /> _®DAIRY 6----7-11 North-Saer-aimen-to Lodi <br /> ®LAND USE APPLICATION SITES <br /> HOUSING <br /> ®SEPTIC PUMPER TRUCK/ 6 <br /> YARD/CHEMICAL TOILETS -�'� 0 <br /> j1 WASTEWATER TREATMENT PLANT �CUPA <br /> HOUSING ABATEMENT 7 <br /> MOTEUHOTEL i <br /> ❑CHICKEN RANCH/DOG KENNEL 'EfCUPA-WAZ-WAS <br /> 8 <br /> IN MEDICAL WASTE FACILITY ` <br /> TATTOO/BODY PIERCING G(S/OLID WASTE <br /> WASTE TIRE B <br /> [„RI COMPLAINT <br /> OTHER(PLEASE SPECIFY): F <br /> ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Cornplete. Staff Name: �; �� <br /> EHD 48.06 10o" d <br />