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03/=23/2015 13:15 92574660 AEICONSULTANTS PAGE 01/01 <br /> rs O l V I M �� SAN JOAQUIN COUNTY • EHD LOG NUMBER <br /> RA <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAR 2 3 2015 1868 East Hazelton Avenue, Stockton, CA 96205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: Www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Clinton Look BUSINESS/AGENCY;AEI Consultants <br /> ADDRESS: 2500 Camino Diablo CITYISTATE/ZIP:Walnut Creek, CA - (7 <br /> PHONE (1): 925-746.6016 PHONE(2): FACSIMILE:925-746-6099 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUES -$1 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Elactronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> Uu„ 1 <br /> 1. 3550 South Highway 99 Stockton <br /> 2. 3736 South Highway 99 Stockton S e y <br /> S unit z <br /> 3, <br /> 4. <br /> 5. -- . _ _EUnR3 �I <br /> 1111 !!jj f I <br /> 6. I'I'e'_i Cvvt .Q�Unit4 <br /> 7. <br /> 9. ❑Unit 5 <br /> 110. 1 LA J Unit s <br /> Specific Data Range of Information RequoSted: From to <br /> ENVIRONMENTAL WEALTH'DEPARTMENT <br /> ®UNDERGROUND TANK(UST)CLEANUP SHE(LOP) 0 MEDICAL WASTE FACILIIY ®SOLID WASTE FACILRYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) L]HOUSING ABATEMENT WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> AeovEGROUND TANK 0 CHICKEN RANCHI DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HA7ARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEL(HoTEL ❑PUMPER TRUCKIYAROICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOLISPA L]LAND USEAPPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM•5:00PM(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 fife type MUST be selected. Fa o 209 -11138 or m to the address fndicated 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 flis reviews by the same applicant may require a$125 deposit prior to review. ""BOXED AREA-EHD USE ONLY— <br /> tU�6 '-O� EuCret, r CC?t�.? 71 5w . <br /> r.� k <br /> W00-3-1 g7 <br /> v ,�^ o f � ,.. OgtO <br /> Records provided by Staff-PPR Complete. staff Name: <br /> Received Time—Mar. 23. -2015= 1 : 16PM=No. 8383 <br /> 4=114 <br />