Laserfiche WebLink
0 0 03/23/2015 13: 15 925746E AEICONSULTANTS - PAGE 01/01 <br /> FTI <br /> VE�J 1 EHD LOG NUMBER <br /> Z SAN .1OAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT ° <br /> MAR 2 3 Z0151 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br /> ENVIRONMENTAL i IFJ^iai i' <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Clinton Look BUSINESS/AGENCY:AEI Consultants [� 7 <br /> ADDRESS: 2500 Camino Diablo CITY/STATE/ZIP:Walnut Creek, CA <br /> PHONE (1): 925-746.6016 PHONE (2): FACSIMILE:925-746-6099 <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 /> ❑ CHE=CK BOX TO EXPEDITE REQUEST..$1 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 /> straet# _ Street Names City ❑Unit 1 <br /> 1. 3550 South Highway 99 Stockton <br /> 2. 3736 South Highway 99 Stockton unit 2 <br /> 3. <br /> 4. _EUnit 3r,..., <br /> 6. ta7&' � O.Unit 4 <br /> 7. <br /> _ ❑unit s <br /> 9. <br /> 10. <br /> p•gnit 6 <br /> Specific Data Range of information Reque9ted: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILr1Y ®SOLID WASTE FACrLrTYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) L]HOUSING ABATEMENT Z WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ❑C ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL Z WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POoUSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOMODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 5:00 AM-5:00PM(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 (209)464-0138 or mail to the address Indicat d 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, <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-EMD USE ONLY"* <br /> Records provided by Staff-PPR Complete. staff Name. <br /> Received T ime—Ma r, 23. -2015' 1 : 16PM:4o. 8383 <br /> 4126114 <br />