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Nam From:AEI Consultants 408 559 7601 08/7" '2015 13:34 #763 P.001 /001 <br /> G3Q <br /> AT _ <br /> EoE IxJEr% <br /> EHD LOG NUMBER. <br /> 13 % SAN JOAQUIN COUNTY <br /> ��� AUG % �N1� ENVIRONMENTAL HEN Tt-I n;=pAR T rn�ti1 T <br /> LtT r.v <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Ti�tik �Niv;ENTALT e: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PI=RMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Max Martinez ('{ I ';' =1„ kj I t BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 3880 S. Bascom Avenue CITYISTATE/ZIP: San Jose, CA 95124 <br /> PHONE (1) 408-559-7600 PHONE (2): FACSIMILE:408-559-7601 <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 C K ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE �jl�O/IS <br /> Electronic Information: ❑ List ❑ Map-Description: <br /> _ FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> �1. 3010 Grant Line Road Tracy 5-f L� <br /> } 2 ,ED Unit 2 <br /> 3. <br /> 4. <br /> 1 S• <br /> 6. <br /> ,Q Unit 4 <br /> 7. <br /> 8. <br /> 9. ; <br /> A 0 <br /> ' /�Unit 6 <br /> Specific Date Range of Information Requested: From All to e <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE y <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY v <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT k <br /> ®HAZARDOUS WASTE/H—7aRDOUs MATERIALS ❑MOTEUHOTEL ❑PUMPER TRUCK/YARDICHEMICALTOILETS <br /> TIERED PERPUTTED F-1IL11Y ❑PcDL/SPA ❑LAIRD VSE APPLICAT ink'VITEJ <br /> ❑TATTOO/BODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) E <br /> 5 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Ara-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 file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated 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) k- <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments E <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$125 deposit prior to review. —BOXED AREA-EHD USE ONLY' <br /> o i C 5 7 o„-I v� l33 t,a 0(0- 010 �"I CL'e ar<+;i;e { <br /> z <br /> r' <br /> EDRecords provided by Staff-PPR Complete, Staff Name: <br /> Eun e_a_nr 4/28/14 <br /> Received Time Au,,, 20, 2015 2 : 20PM No. 9382 <br /> ;t <br />