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_ I <br /> 05/20/202.1 12:52. 4085597F�@7:-- AEI SAN JOSE PAGE 01/01 <br /> : O <br /> DATERECEIVE0 SAN-JOAQUIN COUNTY <br /> FIEC „N ENVIRONMENTAL, HEALTH DEPARTMENT <br /> 600 East Mein St.Stockton,CA 95202»3029 <br /> MAS 2 a <br /> '03`11 Telephone: (209) 468-3420 Fax-.,(209)464-0138 Wena: www.sjgay.org h <br /> 14 PUBLIC RECORDS RELEASE APPLICATION <br /> P�P1kT&6.M atrie Hemet= BUSINESSIAGENCY:AEI consultants ; <br /> Sart ,lase, CA 95124 <br /> ADDRESS: 3880 S.SascOm,Avenue,#108 <br /> ClfYISTATERIP:_ --- <br /> PHONI=('1): 631 295 9725 PHONE(7):khindt@aeiconsultants. PACSIMILE.408-5597601 <br /> ji <br /> TENTATIVE`''APPOINTMENT DATE: Time: <br /> tPlua#e alloy 10 businw"days from dx%of application subi;lttal-"nowadve only-must be cortfTrmed) i <br /> [ CHECK DQX TO EXPEDITE REQUEST-$11 rE (C SH OR CHECK ONLY)-REQUEST PROCESSED IN 9 BUSINESS DAYS .i <br /> SIGNATURE OF APPLICANT DATE 5-20-11 i <br /> Electronic Informatiion: ❑LIst❑Map Description: <br /> FILE ADDRESS EHD usE ONLY <br /> Stryetit StrNt Name 0 unit t <br /> 1 2015 N.MacArthur Drive Tracy <br /> 2. 2219 N.MacArthur Drive Tracy <br /> 3, 2227 N.MacArthur Drive Tracy �I <br /> 4, 2235 N.MacArthur Drive Tracy unit a 1 <br /> 5. 426 E.Grant Line Road Tracy <br /> 6. 450 E.Grant Line Road Tracy ' nit 4 <br /> 7. 500 E.Grant Line Road 3 a Tracy <br /> g, 502 E.Grant Line Road Tracy 2 unit s <br /> g. FF <br /> 10. Unit 6 I <br /> Specific Uate Rang*of information Requested: From 1 <br /> ENVIRONMENTAL HEALT14 DEPARTMENT FILES <br /> ✓C]UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑liousiNG ABATEMENT 0 SOLID WASTE FACILItYlVERGLE <br /> Me 01MFR CLEANUP SETS(NoN-L0P) []FooD FACILITY [ WASTE TIRE i <br /> .0 UNDERGROUND TANK("rMRINGIFREMOVAL) ❑DaG KENNEL DAIRY { <br /> .M HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PEWI TED FACILITY L]MOTELMOTEL ©PUMPER TkurKIYARDICHrOCAL TOILET$ j <br /> ❑TATrO01BODY PIERCING 0 FOOLISPA ❑LAND USE APPLiCAMN SlrEs i <br /> ❑ MEDICAL WASTE FAcury ©OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PFRM17 RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8.00 AIN-5:Ot}FM(EJCCtUAiNG WOLI)AY8 <br /> 1. list un to ten rtdd k%M In the space above, Select the .. <br /> type(s)of Elias frorn the list above by checking theappropriate <br /> box(es). At least one filo type MUST be selected. Address <br /> range*will not he accepted-for additional assistance with file addrasms,contact the END. Appileations revolved after <br /> 3:00 pm will be processed the next business d$y. <br /> 2. The EHD will notify the applicant If any END files axl*L An appointment for review will be cortflrMed approximately ten(10) 1 <br /> days after recalpt of appticstian. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled atGordingly. <br /> S. A file that is actively being worked on by END staff may not be immediately available for review. A new epplicaffon 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 EMD staff at the expense of the applicant. <br /> Future fila rovlsws by the same applicant may require a$1115 deposit prior to revIew. <br /> 5, if you need further mshOnce,please contact Diane Martinez,at(208)469-3426. <br /> rano QVA ntnY <br /> END 40.09 pr17la9 <br />