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11/12/2010 16:46 4085597601 AEI SAN JOSE PAGE 01/01 <br /> EHD LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> RECEl\jE® ENVIRONMENTAL HEALTH DEPARTMENT <br /> G 600 East Main St. Stockton, CA 95202-3029 Az) <br /> u"cne: (209)468-3420 Fax: (209)464-0138 Web:WWW.sjgov.org/ <br /> NOV 1 _ -PUBLIC RE-CORDS RELEASE APPLICATION <br /> APpIffiF1NflONt� ( dt r� nd BUSINESSIAGENCY; AEI Consultants Inc <br /> ADORESSE3 880 S. Bascom Ave, #108 CITYISTATEIZ;IP: San Jose, CA 95124 <br /> PHONE(1): 831- - 725 PHONE(2): FACSIMILE: 408-559-7601 <br /> TENTATIVE"APPOINTMENT DATE: Time, <br /> (Please allow 10 twslness days Tram data of application submittal-'Tentaflve only-moat be wn0rmad) <br /> ❑CHECK BOX TO EXPEDITE REQU1' CASH�,QR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> /WlL DATE 11-12-10 <br /> Electronic Information: ❑List❑Map-Desorlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> f7750 <br /> MW_,..11thStjE.1lth/Ilth <br /> t Name City n <br /> .11th 11th.11th/11th Tracy Unit2.11th/11th Tracy ((�' rE.11th/11th Tracy ({� nit3 <br /> .11th/11th Tracy U�j T Z IN 60(y <br /> 6. 4 <br /> 7. <br /> 8 ❑Unit 5 <br /> 9. <br /> 10. <br /> Specific Data Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> [UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING A13ATEMENT []NOUD WASTE FACRnYNEHICLE �, J <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ©WASTETIRE !'� <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) O\ ❑DOG KENNEL ❑ONRY <br /> gliA7AR000S WASTE GLNERATOq 7t ❑CHICKEN RANCH []WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMMD FACIL17Y ❑MOTEUHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATFOOIRODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑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 eddres_s_s 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 r nnm sadnlaS or mail to the address in Icated above Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHO. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointmentfor 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 /> 3. Afile that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <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 some applicant may require a$115 deposit prior to review. <br /> S. If you need further assistance,please contact Diane Martinez,at(209)468-3425. <br /> RHO usf ONLY <br /> fI a I . j <br /> END48.06 8137109 <br />