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09/12/2011 11:16 9257466099 AEI CONSULTANTS PAGE 01/01 <br /> �� l 0 <br /> D T RECEIVED • EHO LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> AtinE' MENTALBEALTH 600 East Main St. Stockton, CA 95202-3029 ( ' <br /> (R 20g 4�ORVI BPhone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Corey Gargano SUSINESSIAGENCY;AEI Consultants <br /> ADDRESS: 2500 Camino Diablo CITYISTATEIZIP: Walnut Creek, CA 94597 <br /> PHONE(1): 925-746-6046 PHONE(2): FACSIMILE: 925-746-6099 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow f 0 business days from da PpOwt on submittal-`Tentothm only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST- 2 FEE S CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE ?-12- -h <br /> Electronic Information: ❑ List❑Map-Desc apt <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City Unit1 <br /> 1 1514 Mar et Street Stoccton <br /> O� 2• TM6't" ^" ' Stockton <br /> nit 2 - <br /> 3. Stockton <br /> 4. Stockton unit 3 <br /> 5. 102 S . Wilson Way t h Stockton ,fl �? <br /> `)p L , 40 w� U <br /> 6' z)` _ N i E Unit 4 <br /> 7. <br /> 8' ( C h 0 /U *10 .PlunitS <br /> 9. <br /> LYS <br /> nit G <br /> Specific Date Range of Information Requested: mmto <br /> ENVIRONME TA HEALTH DEPARTMENT FILES - r <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT SOLID WASTE FACILRYNEHICLE (n� <br /> OTHER CLEANUP SITE(NDN•LOP) FOOD FACILITY WASTETIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) DOG KENNEL DAIRY ��f t� <br /> HAZARDOUS WASTE GENERATOR CHICKEN RANCH WASTEWATER TREATMENT PLANT l^" <br /> TIERED PERMITTED FACILITY MOTELIHOTEL PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> TATTOOIBooY PIERCING POOLISPA LAND USE APPLICAT70N SITES <br /> MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM iEXCLUDING HOLIDAYS) <br /> 1. List yD M ten addresses 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 to(,8091464.0138 or mall to the aodross indicated above Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. 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 appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will ba held for a maximum of five business days for review. Appoimments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new appllcatlon may be <br /> submitted when the flee is available. <br /> 4. Any Elle not ratumed 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$122 deposit prior to review. <br /> i EHe use eels <br /> S <br /> EHD�&0a In - I_" <br /> op&I iO S� ©I(I )Z )Tj l� arrzeno <br />