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SAN JOAQlJIN Courvr�r -- - ---- _ <br /> RECEIVED- <br /> -- EHD LOG NUMBER-- - - — -- <br /> -QE--P-Al N-T <br /> IFJ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 k <br /> Tone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> MRONMEW <br /> ALHEkf�PERM"MEfie PUBLIC RECORDS RELEASE APPLICATION F P <br /> APPLICANT: Elizabeth Scudero BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 520 3rd Street, Suite 209 CITY/STATE/ZIP: Oakland CA 94607 <br /> PHONE(1): 510-907-3145 x2109 PHONE (2): 510-681-7818 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 REQ -$ 0 FEE(CASH O CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYSff�� <br /> SIGNATURE OF APPLICANT DATE G t <br /> T� <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS <br /> Street# Street Name City <br /> EHD USE ONLY <br /> 1. 2388 North California Street (�cA m"Jj Stockton <br /> 2. 2488 North California Street a toc n ❑Unit 1 <br /> 3. &- nit 2 <br /> 4. <br /> (`Unit 2H <br /> 5. <br /> 6. V <br /> is,Unit 3 <br /> 7. <br /> Dlibnit 4 <br /> $ �,,6/1TE MITIGATION <br /> 9. <br /> Q Unit 5 <br /> Specific Date Range of Information Requested: From to <br /> ,.�(l ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ((J UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY SOLID WASTE FACILITY/VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT Q WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCH]DOG KENNEL WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTE/HAZARDOUS MATERIALS MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS i <br /> TIERED PERMITTED FACILITY ❑POOLISPALAND USE APPLICATION SITES I <br /> TATTOOMODY PIERCING COMPLAINTIRESPONSE RECORDS BOTHER(PLEASE SPECIFY) <br /> I <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the <br /> type(s)of fifes 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. <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$130 deposit prior to review. ***BOXED AREA-EHD USE ONLY' <br /> [LEO]ERecoErdsEproEvidedEtblySt�affff-PPIRaff Name: <br /> EHD 4"6 <br /> 711115 <br />