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I <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUINCCB <br /> 8,8 ' ON' ll SIOb lti unpaall penlaaaa <br />( ENVIRONMENTAL HEALTH DEP-ARTMENT-- — f <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Pax: (209) 464-0138 Web_ www. sjgov.org/and <br /> �?,C;F" <br /> vl� ) s PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jessica Gonzalez BUSINESSIAGENCY: AEI Consultants <br /> ADDRESS: 2500 Camino Diablo CITY/STATE/ZIP: Walnut Creek, CA 94597 <br /> PHONE (1): 925-746-6050 PHONE (2): 510.688-0961 FACSIMILE: 925.746.6099 <br /> TENTATIVE"' APPOINTMENT DATE: Please call Time: <br /> (Please allow 10 business days from data of application submittal - *Tentadvo only - must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST - $125 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information : ❑ List ❑ Map — Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street # Street Name City _ ❑ Unit 1 <br /> 1 , 1621 E Citation Stockton (unincorporated) Nle <br /> iiiii2. 1641 E Citation Stockton (unincorporated) <br /> El Unit 2 <br /> 3k, 6755 C E Dixon Street Stockton (unincorporated) <br /> 4a 6750 St-aurige-Strest Low a Stockton (unincorporated) .0/unit 9 <br /> 5. 7100 S-Lounge Street Stockton (unincorporated) V) vii <br /> 6, 7199 Stmunge• Street Stockton (unincorporated) p Unit 4 <br /> 7. 7579 8 "UngeStreet Stockton (unincorporated) it <br /> 8. 1888 Lockheed Court Stockton (unincorporated) ❑ unit s <br /> 9. 6250 Lindbergh Street Stockton (unincorporated) <br /> 10. p7Unit e <br /> Specific Date Range of Information Requested: From to f <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> IC®7I UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILIrY ® SOLID WASTE FACILITYNEHICLE <br /> �t OTHER CLEANUP SITE (NON'LOP) ❑ HOUSING ABATEMENT WASTE TIRE <br /> ® UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ FOOD FACILITY ❑ DAIRY <br /> j ABOVEGROUND TANK ❑ CHICKEN RANCHI DOG KENNEL WASTEWATER TREATMENT PLANT <br /> ® HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTELIHOTEL ❑ PUMPERTRUCKIYARDICHEMICALTOILETB <br /> ® TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br /> TATTOOIBODY PIERCING ® COMPLAINTIRESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRI DAY 8:00 AMa5:00PM (EXCLUDING HOLIDAYS) <br /> 1e List up to ten addresses In the space above. Select the types) of files from the Ilst above by checking the appropriate <br /> box(es). At least one foe type MUST be selected. Fax 1.0120-9) 46"115 or mail to the address Indicated above Address <br /> ranges will riot be accepted - for additional assistance with file addresses, contact the EHD. Applications 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 application. The files will 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 /> submitted when the file Is avallable. <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. — — - _ — <br /> ';? s.ii.' ..'y`%+'I „ Na {*''r, t; . . .I,ii,Yiyh, tG, fl 'tla.bY�IBmJ�6.rJ , i�i�lro rw '. 4r, . J . •V�me ' ;,A..,�fSx.,�nrr .MRf +rrt d` i {r611b��;, l <br /> 'IfF oil <br /> _000,.. y <br /> II r . vy7 OWNER " u . l! tl, I Pokkill + " ! lit 'LLLLLL <br /> r'iD �. IIa y +2 Iii , t 1 .1 <br /> �, ws <br /> MSV .. , rr, F Jlit <br /> UI, d •" i3LI eMl <br /> ` EHD 0-06 SIM12 V <br /> Till ITA 74PW I SI NH I1rlSWnr)T-qH _ Fq R99b1G7.F. - FG : TT CTR7 /bR /9q. ■•■�_ <br />