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03/ 2016 16:50 0102 P.001/001 <br /> X% r 1 r EHD LOG NUMBER <br /> o® DATE RECEIVED SAN JOAQUIN COUNTY <br /> MAN 2 5 2016§6 "•t r 4 <br /> ® ENVIRONMENTAL HEALTH ®EPA T€VI HJT, I <br /> EN\AR04�PJIEIF TAI_.I E�aE-Tf-t 1868 East Hazelton Avenue, Stockton, CA kA5-x'232 <br /> pERMIT/SFR\(I lephone: (209) 468-3420 Fax: (209) 464-0138 Web: Www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION � �� r P. p y <br /> V %W1 <br /> APPLICANT: Sarah Canniff BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 520 V St, Suite 209 CITY/STATE/ZIP: Oakland, CA 94607 <br /> PHONE (1): 510-907-3145 x 2108 PHONE (2): FACSIMILE: 510-338-3192 <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 /> CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SI <br /> _X <br /> ���NATURE OF APPLICANT �.c <br /> [114 �1����� // DATE 3/24/16 <br /> Electronic Information: ❑ List ❑ Ma —Description: <br /> Street# I <br /> FILE Street <br /> SS- --City --.�............ ... ..f�n.. .... <br /> EHD USE ONLY <br /> Unit 1 <br /> .....-------- — <br /> 1. 1250 E Lathrop Road Lathrop <br /> 2. 1444 Lathrop Lathrop Road �(� L _ unit 2 <br /> ' c, _— — -- <br /> 3. 115789 S McKinley Avenue Lathrop a �, <br /> -4—I - -------------__- ------------ <br /> 5 <br /> - ❑ Unit 4 ,�Ni <br /> - -----__-- Unit 5 <br /> 9. -- � --------------------------------; ------__-_ 1 �� --�/ � � sly�1 �� <br /> 01-6 <br /> r� <br /> Specific Date Range of Information Requested: From All records to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND T ANK(UST)CLEANUP SITE(LOP) N MEDICAL WASTE FACILITY ©SOLID WASTE FACILi,'IVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ®HOUSING ABATEMENT ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ®FOOD FACILITY ®DAIRY <br /> ®ABOVEGROUND TANK ®CHICKEN RANCHI DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS Z MOTELIHOTEL ®PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ®POOLISPA Z LAND USE APPLICATION SITES <br /> ®TATTOO/BODY PIERCING ®COMPL AINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted. Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted above. <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. I <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. `"*BOXED AREA-END USE ONLY I <br /> I� } <br /> - i <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: I <br /> EH D 48-06 4128/14 <br /> Received Time Mar. 24. 2016 4:48PM No- 0620 <br />