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01/20/2012 DS:33 4085597681 AEI SAN JOSE � <br /> RECEIVED. SAGE 01/01 <br /> DATE RECFI , D EHD LOG NUMBS <br /> f 2 0 2012 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT 6q <br /> Attn: C ONMENTALHEALTH 600 East Main St. Stockton, CAS 96202-3029 <br /> (p 209.468: 3 TlGIT ne: (209)468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Katie Hindt .AE1 Consultants <br /> BlfBIl�ESSJAGEIVCY: <br /> ADDRESS: 3680 S. Bascom Ave, #108 CITYISTATE/ZIP: San Jose, CA 95124 <br /> PHONE('#): 831-295-9725 PHONE(2): _ FACSIMILE: 408- 559-7601 <br /> TENTATIVE*APPOINTMENT DATE:_ Time: <br /> (Pieaae allow 10 buslness days from date of application submittal-`Tenfaflve only-must be conflrmad) . <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$121 F E AASH CHEC NLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS � <br /> SIGNATURE OF APPLICANT DATE 1-20-12 t <br /> v <br /> Electronic Information: I]List❑Map--Description: <br /> FILE ADDRESS Eifa USE OKLY i <br /> Street# Strut Name city <br /> unit 1 <br /> 12. <br /> 7-9801 Brennan Ave/Rd �)� Escalon .NCL fvit 7r <br /> 20719 Brennan Ave/Rd Escalon <br /> 0 ❑Unit 2 <br /> 3, 20963 Brennan Aire/Rd Escalon U57 <br /> [6. <br /> Unit 3 <br /> � <br /> MORMON Unk A <br /> 7. 1 <br /> jj <br /> $ f' D Unit 5 <br /> Unit <br /> SPZ"ffi Data Ran®e ofIle"Imlan Requested: From records f Ile. <br /> to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> C UNd£Ry�ROUN0 TANK(UST)CLEANUP SITE(LOP) ❑ f9 <br /> HoUSING ABATEMCNT ❑SOLID WASTE FACILITYNEHICLE - 1 PS <br /> OTHER CLt;ANUP SITE(NON-LOP) ❑FOOD FACILITY E]WASTE TIRE a"1114 3, y�J <br /> UNDERGROUND TANK(MONl1oRINC1REMOUAL)0(_ Q DOG KENNEL ❑DAIRY <br /> ®HA7ARDOLlS WASTE GEN@RATOR p( ❑CHICKEN RANCH ❑WAST("1NATER TREATMENT PLANT <br /> [�TIERED PERMITTED FACILITY ❑MOTELIHOTEL D PUMPER TRUCKlYAMICHEMICAL ToiLFTS <br /> ❑TATTOOMODY PIERCING ©POOVSPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACRM ❑OTHER(PLEASE SPECIFY) <br /> WELL,AND SEPTIC PERMIT REcoRDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AIM-5.00pm EXCLUpIHG HOLIDAYS) <br /> 1. List up to tan addres®es In the space above. Select the type($)of files from the list above by checking the appropriate i <br /> box(es). At least one fila type MUST be selected. (20914-64,&Mor al Address <br /> ranges v4il not be accepted-.for additional assistance with file addresses,contact the.EHD. Applications received after <br /> 3:00 pm will be processed the nett business day, <br /> 7, The EHD will notify the applicant If any E:HO'files exist. An appointment for review win he confirmed approximately ten(10) <br /> days after raaeipt of application. The tiles will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that 18 actively being worked on by END staff inay not be Immediately available for rrvfaw. A new application may be <br /> submitted when the file Is available. k <br /> 4. Any file not returned In the same condition as reles$ed will be reorgDnlzed by EHD staff at the expense of the applicant. <br /> I <br /> Future file reviews by the some applicant may require a$122 deposit prior to review. <br /> I END U6 Ix <br /> J 646 A8.D6 <br /> 9I 67129M D <br /> I <br /> i � <br />