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08/30/20`����1''''�1111,7 16:20 17607443383 PAGE 01/01 <br /> DAI�F_17W1 EFID LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> AUG 3 0 209 Qf 3C*- ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-0232 <br /> EWRO• Telephone:(2.08)458-3420 Fax: (209)464.0138 Web:www,sjgov.org/ehdN&IWAL <br /> PERM PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Todd Jacquay / Kristen Koh18 BUSINESS/AGENCY: AEC <br /> ADDRESS: 145 Valleci.tos De Oro, 201 CITYISTATE/ZIP: San Marcos , CA <br /> PHONE(1): 760-744-3363 PHONE(2); FAXORE-MAIL: 760-744-3383 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you o rrange an appointment date and time to review the requested records. <br /> Ej CHECK'.90X f6 EXPEDITER U_ST=.5;13gfEE(CASW dFi'CHEG♦t'bNCY)-REQUE§T'PItDCESSED IN-3'�US'11U135SD'kWS <br /> SIGNATURE OF APPLICANT DATE <br /> 1. List up to tenaddresses in theSlow. Select the type(s)of files from the list below by checking the appropriate <br /> box(os). At least one file type b selected. Fax to(209)464-0135 or mali_t: the address_Indl_4ated above,_ Address <br /> ranges will not be accepted. A iea Ions 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$139 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 �y CO <br /> FILtS . $•3�'I-7 <br /> KEALtHRptPA-RtliIENT FILE ADDRESS 1 EHD USE ONLY <br /> • ®UNOERCRCIINDTANK(UST) Street# Street Name City LLL��' <br /> CLEANUP SITE(LOP) F]CONUUMEF <br /> QOTHEP CLEANUP SITE(NON-LO t A.1.1 E Yoaemice AVE Manteca., CA if <br /> go ca <br /> 0• HmaARDOUS WASTE u` <br /> n TIERED PERMITTED FACILITY 2 <br /> (�AROVEDROUND TANK <br /> UST (MONITOAINO f REMOVAL) ❑PWA <br /> 1I MATERIAta D <br /> X SPILURELEASE RESPONSE <br /> SOCIO WASTE FACILITY/Vf1Ur,LC 6 WATES n"Aun <br /> n FOOD FACILITY <br /> ❑POOL/SPA rcTE MITI <br /> n DAIRY E <br /> LAND USE APPLICATION SITES <br /> SEPTIC,PUMPER TRUCE <br /> 011^.INO <br /> 8 <br /> YARD/CHEMICAL TORETR <br /> ❑WA3 VAIATER TREATMENT PLANT LIPA <br /> HOUSINQ ARATEMFNT T tT'H <br /> ❑MOTELIHOTE1. qyC <br /> F1 CNICKEN RANDI'I/Doe KENNEL CUFA-UET <br /> n MEDICAL WASTE FACILITY E <br /> n TATTOOI PIESCINC <br /> WARE TIRE ❑SDLID WASTE <br /> D <br /> COMPLAINT <br /> DTIIER(PLL-AFf Ynrp.n.RINR <br /> tD <br /> ^BQXEbAREA-EHD USE ONLY''• <br /> 7 'lit ( <br /> a <br /> 0 Records provided by Staff-PPR Complete. smnNEme 9-11-11 " r 7 c�-� <br /> Received Toe Aug, 30, 2017 4:21PM No. 2199 <br />