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05/06/2015 13:31 9257466 AEICONSULTANTS PAGE 01/01 <br /> i EHD LOU NUMBER <br /> I WTE RECEIVED <br /> ■ _ SAN JOAQUIN COUNTY <br /> `�� <br /> J%j ENVIRONMENTAL HEALTH DEPARTMENT <br /> ,, i �)��'�( 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ON f Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Clinton hook BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS' 2500 Camino Diablo - CITYISTATEIZIP:Walnut Creek CA <br /> PHONE(1): 925.746-6016 PHONE(2): FACSIMILE;925-746-6099 <br /> �rue;AtSt <br /> Please allow 10 business days from date of application submittal for the records to be available. 9�1 AA <br /> Staff will contact you to arrange an appointment date and time to review the requested records, <br /> ❑ CHECK BOX TO EXPEDITE REQU T-$130 FEE(GASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 5/6/2015 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 9 Street Name City [31 Unit 1 <br /> [2. <br /> 5302 Pacific Avenue Stockton Vc- <br /> y_ vr"� <br /> 5308 Pacific Avenue Stockton � z <br /> 5350 Pacific Avenue Stockton 5400 Pacific Avenue Stockton <br /> S. 5420 Pacific Avenue Stockton +`- V <br /> 6. 5110 Pacific Avenue Stockton y . X51-V1 ( p'uni <br /> 7. 5151 Pacific Avenue Stockton "^ 7 <br /> 't 1 I <br /> 8. 5757 Pacific Avenue Stockton { y&+ o ufnifv oAex <br /> 9. 221 West Yokuts Avenue Stockton int OS 1 -V`1G� <br /> 10. 5223 Claremont Avenue Stockton t` Unit B ' <br /> Specifle Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> •UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY ®SOLID WASTE FACILRYNENICLE <br /> ®OTHER CLEANUP SITE(NON•LOP) ❑HOUSING ABATEMENT ®WASTETiRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH(DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTENAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTORE(S <br /> ®TIERED PERMITTED FACILITY ❑POOUSPA ®LAND USE APPLICATION SITES <br /> ❑TATTOD/BDDY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 5:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1, !List un to ten addr sses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax tQ(209)4j$&O13a r mall to the ad rens Indloated 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$125 deposit prior to review. "'80XED AREA-EWD USE ONL_Y"°" <br /> I)rai,l, I$Atatua f'7n'�'Rrwt 4�4+ia a +,.Pv{ 5 5757 )xr,'�(1i �.»).133L)96 14,1(& v1 eI) . 16jaed coplwig <br /> C O v 3OGai 9+. 3 "aa�9;1 .�t�(i G cv e6�5 �� to . rov,deJ f�',� 4th t 1 51t0 Pqi(c v)A LO )rav Aed ekes_ <br /> U ke Piics 149'^ 5'3U ) , QD 5Ea 0-1 lo,ia IA^Z Y4�_0le 04 $110 P0610(, fdi <br /> i Q c9er tr{a? • am'Jx uv G s! ��l c.�t700 i '', 6wmte 1(Gtr <br /> Received TimepMav � 6�r2015'8 1 31P &No,86"j's' stasfName: 1 ua ri 1;w(i K r to r17u7 hV(9o_ w Cel <br /> EHD 48-06 .S7 4l2en4 <br />