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SAN J OAQ U I "' IVvironmen��� Health Department <br /> I" COUNTY— 0PUBLIC REQ DS RELEASE APPLICATION <br /> Clreatness grows here. EIVVIRONMENZAA1 L `s=RMMEN Rt - EHD LOG NUMBER: 87®22 <br /> APPLICANT: MEGAN NOLET BUSINESS/AGENCY: AEI CONSULTANTS <br /> ADDRESS: 3880 S BASCOM AVE, STE 109 CITY/STATE/ZIP: SAN JOSE, CA 95124 <br /> PHONE (1): 408-559-7600 PHONE (2): FAX OR E-MAIL: 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 /> SIGNATURE OF APPLICANT Processed via email by Staff. Dom M DATE September 5, 2017 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209)464-0138, mail to the <br /> address indicated below, or email to infoRsicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <br /> 3. 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 /> ,.. <br /> 4, Any file not returned in the same condition-as released will be reorganiiao by EHD staff at the expense of the applicant. f f <br /> Future file reviews by the same applicant'm(ay require a$152 deposit prior to review. I <br /> WELL AND SEPTIC PERMIT RECORDS ARE 4VAlLA8{_E-FOR-RREVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT y 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses only, address ranges will not be acce ted <br /> ® Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) El CONSUMER <br /> 1 440 INDUSTRIAL DR " STOCKTON <br /> ®Other Cleanup Site(Non-LOP) <br /> ® Hazardous Waste ❑DAIRY <br /> ®Tiered Permitted Facility 2 3412 PERLMAN DR STOCKTON r <br /> ®Aboveground Tank <br /> ® UST (Monitoring/Removal) / ❑PWS <br /> ® Hazardous Materials s 2120 BOEING WAY STOCKTON (, <br /> ®Spill/Release Response <br /> Solid Waste Facility/Vehicle ®WATER QUALI Y <br /> ® 4510 ALITALIA AVE STOCKTON <br /> Food Facility �0 <br /> Pool/Spa \ ®SITE MITIGATION <br /> Dairy \Ty�JVy Ix <br /> 6 4440 ALITALIA AVE STOCKTON <br /> ® Land Use Application SitA: <br /> ®Septic Pumper Truck/ 6 Z HOUSING <br /> 4800 S AIRPORT WAY STOCKTON '` � 11 <br /> Yard/Chemical Toilets <br /> n <br /> ®Wastewater Treatment Plant Z CUPA <br /> ®Housing Abatement 7 AST/HM/HW <br /> ® Motel/Hotel <br /> F-1 Chicken Ranch/Dog Kennel Z CUPA <br /> ® Medical Waste Facility 8 UST <br /> Tattoo/Body Piercing ®SOLID WASTE <br /> Waste Tire 9 <br /> ®Complaint <br /> Other(Please Specify): ❑ACCOUNTING <br /> 1D <br /> ***BOXED AREA-EHD USE ONLY*** <br /> 9/5/2017—EMAILED APP TO CONFIRM RECEIPT OF PRRA, INFORM THEM OF DELAY,AND THAT WE HAVE FILES. DOM M <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: EHD 46-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sjcehd.com <br />