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08/16/201209c:42\� 4085597601 AEI SAN JOSE PAGE 01/01 <br /> QRWE0 �l ED Io at 1868 Hazelton (near county bldg c t)-5/2012 <br /> GATEHD LOG NUMBER <br /> ? 6 2012 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Attn: ~NMENT600 East Main St.Stockton, CA 95202-3029 <br /> (p 209.4 EA e, (209)468-3.420 Fax: (209)464-0138 Web:www.Sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Bustos BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 3880 South Bascom Ave. Suite 112 CITYISTATEIZIP• San Jose, CA 95124 <br /> PHONE(1): 408-559-7600 x2004 PHONE(2):650-922-7385 FACSIMILE: <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business day*from otappile4t(on submittal-•TenfadVe only-must be conflrmad) <br /> ❑CHECK 00X TO EXPEDITE REQUES -a1=EECASH 0���-R�CHECK ONLY)-REQUEST PROCESSED 771(.0/17- <br /> EWctronic <br /> SINESS DAYS <br /> SIGNATURE OF APPLICANT Jct DATE Information: ❑List[]Map-Dewrlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> 9tnNt P Sweet Name City Unit 1 <br /> 1. 27.3 South KellStreet Lodi <br /> 12, 214 South Kelly Street Lodi p Unit <br /> 3. <br /> 4. / <br /> 5. F1 Unit a ;.( <br /> 7. v2 f'v2 (dUnit 4 <br /> 8. <br /> EdUnk 5 <br /> 9, f <br /> 10. <br /> d Unit a <br /> Specific Date Ronge ofinfonnatlon Requested: From Atl records 011 f 3-1e. <br /> m <br /> ENVIRONMENTAL HEALTH DEPARTMENT FiLES <br /> r.UMMRGROUND TANK(UST)CLEANUP SiTE(LOP) HOUSING ABATEMENT SOLID WASTE FAaL iTYNEHK:LE <br /> OTHER CLEAM P SITE(NOWLOP) Fom FAcnm WASTE TiRE <br /> UNDERawm TANK(IYIQiV om erAEMovAL) DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR CHICKEN RANCH WASTEWATER Tizwmw PLANT <br /> TIERED PEWITED FACILITY WTEL/Hom PUMPER TRUCKIYARDiCHEWAL TOILETS <br /> TATroo/BoDY Pnmr. POOLISPA LAND UsE APPLICATION Sims <br /> MEDICAL WASTE FAcury OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REviEw: MONDAY-FRIDAY 8:00 AM-S:00pm(EXCLUDING HOLIDAYS) <br /> 1. Lid a is ten adgiMes in the space above. Select the type($)of 111168 from the Hat above by checking the appropriate <br /> box(es). At least one ale type MUST be selected. Fax to 12091464-0138 or mall to the address Indketad above Address <br /> ranges will not be accepted-for additional aasletance with Nk addresses,contact the EHD. Appileatlons received after <br /> 3:00 pm will be processed 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 /> days after receipt of applicstlon. The files Vitt be held 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 /> submMed when the file Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$122 deposit prior to review. <br /> �vsa oN�r <br /> Rio WN <br /> ornano <br /> Received Time AU9. 16. 2012 9: 38AM No. 0867 <br />