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EHO LOG NUMBER <br /> *'Ur" SAN JOAQUIN COUNTY <br /> .a ENVIRONMENTAL HEALTH DEPARTMENT <br /> OCT 20 2014 868 East Hazelton <br /> Telephone: (209 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEAL7i-1 <br /> oFa i)TISFFMCES PUBLIC RECORDS RELEASE APPLICATION _ <br /> APPLICANT: LitaPreeman BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 1420 E Roseville Pkwy,#140-262 CITY/STATEMP: Roseville, CA 95661 <br /> PHONE(1): 916-677-9897 PHONE (2): FACSIMILE: <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 REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 10/10/14 <br /> Electronlc Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHO USE ONLY <br /> street# Street Name City ❑ Unit 1 <br /> 1, 19].9 N_Broadway Avenue Stockton lfille5 <br /> 2. 1905 N.Broadway Avenu Stockton V)10Vn Unit <br /> 3, <br /> 4• <br /> 6. <br /> 8• 2 ltI Uunit 4 <br /> 7. <br /> 8. ❑ UnitS <br /> 9. <br /> 10. C14nit s <br /> Specific Date Range of Information Roquoeted: From 1940 to present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ®SOLID WASTE FACIUTYIVHHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ©HOUSING ABATEMENT ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVECROUND TANK ❑CHICKEN RANCFJ D00 KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTENAZARDOUS MATERIALS ❑MOTELMOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOIJDAYS) <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)464-8138 or mail to the address Indlcated 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 EHO at the number noted above, <br /> 3. The EHD will notify the applicant if any EHD files exist. An appolntmant for reviow will be confirmed approximately ten(10) <br /> days after recelpt 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 roloasod will be reorganized by EHD staff at the expense of the applicant- <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. —BOXED AREA-EHD USE ONLY" <br /> ❑ Records provided by Staff-PPR Complete. StaffName; <br /> Received Time Oct. 20. 2014 1 : 13PM No- 7366 <br />