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11/12/2010 16:46 4085597Fr1 AEI SAN JOSE PAGE 01/01 <br /> EHD LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> RECEIVED ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main st.Stocidon,CA 95202-3029 <br /> q"orte: (209)468-3420 Fax: (209)464-0138 Web:WWW.Sj9OV.Or' <br /> 5 I <br /> NQS 1 . -_...._-p JBL-IGR-E-CORDS-RELEASE-APP-LIIrAT_ION---------------- ------------------ <br /> App v <br /> � , I BUSINESS/AGENCY; AEI Consultants InC. <br /> ADDRESS: 3880 S. Bascom Ave, #108 CITY/STATEIxIP: San Jose, CA 95124 <br /> PHONE(1): 831- ),95-9725 PHONE(2): FACSIMILE: 408-559-7601 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from data of application st ba iAUI--tentadve only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST- 15 E CASH19R CHECK ONLY)-REQUEST PROCESSED IN S BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 11-12-10 <br /> Electronic informetion: El List❑Map—Description: <br /> FILE ADDRESS law-USE ONLY <br /> Street# Street NwHe City 0 UnR 1 <br /> 7777 W.11th St E.11th 11th Tracy <br /> 1. <br /> F2 7675 W.11th St/E.11th/11th Tracy ❑unit z <br /> 3. 7840 W.11th St/E.11th/11th Tracy <br /> 4. 7750 W.11th St/E.11th/11th Tracy nR3 <br /> 5. 8203 W. 11th St/E.11th 11th Tracy 3 a <br /> 6. <br /> 7. <br /> 8. <br /> 11. <br /> 1a. <br /> Spodifte Dasa Range nflnfornmdon Requested: From to <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [I HOUSING ABATEMENT [$OLID WASTE FACKMNEHK:LE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACIM ©WASTE TIRE <br /> UNOERGM ND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> [�HAIARDDUS WASTE GExRATOR ❑CHICKEN RANCH n WASTEWATER TREATkIENT PLANT <br /> TMD PERK ane FACAM 0 MOTELMOTEL ❑PUMPER TRwANAFxXHEMICAL TOILETS <br /> TATTWNIWY PIERCING ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> Q MEDICAL WASTE FACUM ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 0:00 AM-5.00PM(lEXCL.uDMiG HOLIDAYS) <br /> 1. List up to bm addresses in the spaoo above. Select the type(s)of files from the list above by checking fhe appropriate <br /> box(es). At least one file type MUST be selected. Fes$X2091464-01E8 or moil to the add 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 proosssed 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 /> dabs after reoelpt of appllcation. The files will behold 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 application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned in the same condition as released wni;be reorganized by EHD staff at the expense of the applicant. <br /> Future file rsvh ws by the same applicant may require a$115 deposit prior to review. <br /> S. If you need further assistance.please Contact Diane Martinez,at(209)468-3425. <br /> an USE onLT <br /> 7JD9 <br />