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09/12/2011 11:16 9257466099 AEI CONSULT"I COPY <br /> PAGE 01/61 <br /> RECEIVE® <br /> DATE RECEIVED EHD LOG NUMBER <br /> �� �� ZQ11 SAN �OAQUIN COUNTY <br /> `�1" � ENVIRONMENTAL HEALTH DEPARTMENT <br /> Ma Stockton, 2 <br /> AttnE' MENTAL&EAL.TH 600 East in St. Stoc n, CA 95202 30 9 <br /> % \ <br /> (p 209 W�RVI $phone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Corey Gargano BUSINESSIAGENCY:AEI Consultants <br /> ADDRESS: 2500 Camino Diablo CITYISTATE/ZIp: Walnut Creek, CA, 94597 <br /> PHONE(1): 925-746-6046 PHONE(2): FACSIMILE: 925-746-6099 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days fromda appilcatlon submittil-'Tentative only-must bo confirmed) <br /> Q CHECK SOX TO EXPEDITE FEQUEST- 2 FEE(as><CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS PAYS <br /> SIGNATURE OF APPLICANT DATE Ij <br /> Electronic Information: 0 List❑Map,Desc ipt <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City Unit 1 <br /> 1. 1514 Market Street Stec ton =4 <br /> TOCi_ � <br /> 2. -.------- _- ___ Stockton <br /> Unit 2 <br /> 3. Stockton <br /> SO <br /> 4. Stockton it 3 <br /> 5• 102 S. Wilson Way Stockton <br /> 6. �, � �l 1 r lig t' 7 du.,ir a <br /> 7. <br /> hV I?I'Unit 5 <br /> 10 �Y7f 7 c = ` Z nitr <br /> Specific Date Range of Information Requested:qrom to _ <br /> ENVIRONME TA HEALTH DEPARTMENT FILES <br /> UNDFRGROLIND TANK(UST)CLEANUP SITE(LOP) HOUSING ARAI EMENT SOLID WASTE FACILITY/VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITOR INGIREMOUAL) DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY MOTEL/HOTEL PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> TTATTOO/BODY PIERCING POOL/SPA LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) <br /> IWELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RFyir-W. MONDAY-FRIDAY 8:00 AM-5:OOPM�EXCLUDING HOLIDAYS) <br /> 1. List op to ten addresses in the space above. Select the type(s)of fifes from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to=)40-0138 or mall 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 appllcatlon 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 the same applicant may require a$122 deposit prior to review. <br /> END USP ONLY <br /> J S <br /> EHD 4&06 07r2e110 <br />