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v■ 05/06/2015 13:31 925746Fp^9 AEICONSULTANTS PAGE 01/01 <br /> ■® EHD LOG NUMBER <br /> �■ttTERECEIVED SAN JOAQUIN COUNTY <br /> 1®■ ���j �/� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> J 186!� 8 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> icf_ .� <br /> ld_ %N5 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/eh <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Clinton hook BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 2500 Camino Diablo CITY/STATEIZIP:Walnut Creek CA <br /> FACSIMILE:9 -6099 <br /> PHONE (1): 925-746-6016 PHONE(2): 25-746 <br /> Please allow 10 business days froman appe of ointment pint enlication t date andt me submittal <br /> or the records to be review the requested available. <br /> Staff will contact you to arrangepp <br /> ❑ CHECK BOX TO EXPEDITE REQU T-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED1N 3 53612015 SS DAYS <br /> SIGNATURE OF APPLICANT <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Name City L3 Unit 1 <br /> Street# - <br /> 1. 5302 Pacific Avenue ��` Stockton <br /> 2. 5308 Pacific Avenue ��' Stockton jUnit 3. 5350 Pacific Avenue Stockton4. 5400 Pacific Avenue Stockton <br /> G. 5420 pacific Avenue Stockton - <br /> 5110 Pacific Avenue , a j Stockton ,[ij`unit a <br /> 5151 �,� Pacific Avenue <br /> Stockton <br /> - Stockton 1 ❑ <br /> 5757 Pacific Avenue `��� units <br /> 9. 221 - L West Yokuts Avenue <br /> Stockton (]/(l- � <br /> 10. 5223 Claremont Avenue Stockton L Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH SOLID WASTE FACILITYIVEHICLI;DEPARTMENT FILES Ot <br /> � � <br /> �UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTEFACILTrr—q(/ �" <br /> ®OTHER CLEANUP SITE(N4N.LOP) ❑liOUSINo ABATEMENT ®WASTETIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ❑Foot)FACILITY ❑DAIRY <br /> 0 ABOVEGROUND TANK ❑CHICKEN RANCH(Doo KENNEL WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUSMATERlALS ❑MIOTELIHOTEL PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> LAND USE APPLICATION SITES <br /> ®TIERED PERMITTED FACILITY ❑POOL1SPA <br /> ❑ OTHER PLEASE SPECIFY TATTOO/BODY PIERCING COMPLAINTIRESPONSE RECORDS ❑ ( ) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> 1. List up to ton addresses In the space above. Select the type(s)of files from the[let above by checking the appropriate <br /> box(es). At least one file type MUST be selected. F t (209)4640138 or mall to the ad ress Indlcated above. Address <br /> ranges will not be accepted.Applications received after 3:00 prn will be processed the next business day. <br /> 2. For assistance In Identifying the nature and content of FHD records,please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD flies exist. An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of applicatlon. 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 file reviews by the same applicant may require a$125 deposit prior to review. "'BO EO AR -EHD U EON y_— <br /> Received TimepMay, 6. =20158 1 31PN�No s6554.staffNama: <br /> atzena <br /> EHO 48-06 <br />