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ve 05/06/2015 13:31 9257466F-" AEICONSULTANTS PAGE 01/01 <br /> It EHD LOG NUMBER <br /> le , <br /> ISNTE RECEIVED SAN JOAQUIN COUNTY <br /> lee cyw <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Tdlephone: (209) 468-3420 Fax: (209)464-0138 Web: u+•sjgov.orglehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Clinton look BUSINESS/AGENCY:AEI Consultants <br /> AADRESS: 2500 Camino Diablo CITYISTATEIZIP:Wolnut Creek CA <br /> FACSIMILE:925-746-6099 <br /> PHONE 2 <br /> PHONE (1): 925.746-6016 ). <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 REQU T-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED1N 3 53612015 SS GAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑ Map—Description: <br /> EHD USE ONLY <br /> FILE ADDRESS <br /> Street# Stroet Name --- �� City []Un <br /> 1 <br /> 1. 5302 �� Pacific Avenue �J�` Stockton <br /> 2. 5308 Pacific Avenue <br /> Stockton Unit 2 <br /> 3. 5350 Pacific Avenue Stockton <br /> 4. 5400 Pacific Avenue Stockton jUnit 3 <br /> 5. 5420 Pacific Avenue Stockton <br /> 5110 Pacific Avenue , C" Stockton 0 Unit 4 <br /> 5151 1 Pacific Avenue ,art Stockton <br /> 5757 Pacific Avenue (k- `�k"o��- Stockton Unit s <br /> Stoc <br /> kton _ � <br /> 9. 221 G West Yokuts Avenue r <br /> 10. 5223 Claremont Avenue <br /> Stockton `��( S Unit 6 <br /> tol <br /> specific Date Range of Information Requested: From <br /> ENVIRONMENTAL HEALTH DEPARTME FILES SOLID WASTE FACILrIYNEHtCLE <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILrcr- �l <br /> ®WASTETIRE <br /> ®OTHER CLEANUP STTHOUSING ABATEMENT <br /> E(NON-LOP) ❑ <br /> ®UNDERGROUND FOOD FACILITY ❑DAIRY TANK(MONITORINGIREMOVAL) ❑n CHICKEN RANCHI DOG KENNEL WASTEWATER <br /> ABOVEGROUND <br /> ABOVEGROUND TANK ❑ ❑PUMPER TRUCKIYARDICHEMICAL TOiLEiS <br /> ®HA7ARDOUS WASTEMAZARDOUS MATERIALS ❑MOTELIHOTEL LAND USE APPLICATION SITES <br /> ®TIERED PERMITTED FACILITY ❑COMPLAINOLISPA OTHER PLEASE SPECIFY <br /> ❑TATTOOIBODY PIERCING �COMPLAINTIRESpONSE RECORDS ❑ ( ) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 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. FaXtQQ(209144-0138 r mall to the addrasg Indl ated_above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the n6xt business day. <br /> 2. For assistance In Identifying the nature and content of EHD records,please contact EHD at the number roxima el ted above. 10 <br /> 3. The EHD will notify the applicant if any EHD files exist, An appointment for review will be confirmed app Y ( ) <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 flle 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 ONt_y' <br /> 77 <br /> Received TimepMay�J6�r20158 1 31P��N s65F4's�ff Name: 4126114 <br /> e <br /> EHO 48-06 <br />