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From]AEt Consul ants 4Vn Ona /OVI ./c moo.-- ---- <br /> C' ��. <br /> DATE RECEIVED --+ � �w--- EHD LOG NUMBER <br /> SAN .JOAQUIN COUNTY <br /> RECEWED ENVIRONMENTAL HEALTH DEPARTMENT A ll <br /> L` t <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 �4 <br /> FEB 6 2013Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENvlilONtfcNTR:LHEr1LTri PUBLIC RECORDS RELEASE APPLICATION <br /> PERP IVIENTAF—R,L HEC <br /> APPLICANT: Katie Hindt BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 3880 S. Bascom Ave, #112 CITY/STATEIZIP: San Jose, CA 95124 <br /> PHONE(1): 831.295 .9725 PHONE(2): FACSIMILE: 408.559 .7601 <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$12 FJZE ASH C�H�ECK QNNLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Cy"�i � PVIt/r DATE 2-6-13 <br /> Electronic Information: [--] List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> q 1934 E Miner Avenue Stoc ton NSG , <br /> 2, 1936 E Miner Avenue Stockton Unite <br /> 3. 1938 E Miner Avenue Stockton <br /> 4. 1940 E Miner Avenue StocktonL <br /> r Unita <br /> 5, 1942 E Miner Avenue Stockton <br /> 6. 1944 E Miner Avenue StocktonUnit <br /> T_ 1946 E Miner Avenue Stockton <br /> 8. 1948 E Miner Avenue Stocktonu its <br /> 9, 1950 E Miner Avenue Stockton <br /> im 1952 E Miner Avenue /A,rr t. Stockton <br /> IV . / Unit6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FqA�CI NEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE YQS GUJ7 .I�' <br /> [UNDERGROUND TANK(MONITORINGIREMOVAL)�, ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOROf- ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Pq TIERED PERMITTED FACILTTY(j ❑MOTEL/HOTEL ❑PUMPER TRUCKNARD/CHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> [2 MEDICAL WASTE FACILITY EJCOMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 6:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to.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(209)464-0138 or mail to the address 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 be held for a maximum of five business days for review. Appointments <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 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 thesame <br /> � <br /> same applicant may require a$125 deposit prior to review. <br /> �Y- � ' ' T WWO -:� - E D SEO Y\ G <br /> 5 <br /> EHO 49-M eHlit <br /> Received Time Feb. 6. 2013 8: 15AM No. 2229 <br />