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can P 7, <br /> n.. ....� <br /> o awi aAla�a <br /> 0MC4 Fri'lftiEar, SAN JOAQUIN (60� ' 00 01 �l0Z l ' 0 1 P �� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ��I01 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telepho e: (209)468-3420 Fax: (209) 464-0138 Web: www.SjgOV.Org/ehdcfe <br /> {UIRONMENTAL HEALTH <br /> PERMIT/SERVICES UBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Christina Bay BUSINESSIAGENCY: AEI Consultants <br /> ADDRESS: 2500 Carnino Diablo CITY/STATE/ZIP: Walnut Creek, CA 94597 <br /> PHONE (1): 925.746-6043 PHONE(2): - FACSIMILE:926-746-6099 <br /> TENTATIVE'APP INTMENT DATE: Please call Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only- med <br /> must be confir ) <br /> ❑ CHECK BOX TO EXPEDITE REQUE - CASH OR CHECK ONLY -REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLIC NT _ DATE <br /> Electronic Information: El List❑ Map—De§ga¢tion: <br /> _ FILE ADDRESS - EHD USE ONLY <br /> street# Street Name City <br /> Unit 1 <br /> 1. 7945 North EI Dorado Street Stockton <br /> 2. 8003 North EI Dorado Street Stocktonav_ — q / ! <br /> ' Unit 2 <br /> 3. 7906 North EI_Do,ado Street_ Stockton �� j If�� I,MNI l", vv ,q,4J��-�Y-'r�i; !'' <br /> 4. 8014 North EI Do do Street Stockton � / <br /> 93,+Unit 3 <br /> 6. <br /> 7. - I El Unit 4 <br /> 9. — ,"Unit 5 <br /> 10. � <br /> - � �j <br /> 171 Unit 6 <br /> Specific Data Range of Information Requested: From ALL To ALL <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> BI UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY SOLID WASTE FACIUTYIIIEHICLE j <br /> OTHER CLEANUP SITE(NON-LOP) Fj HOUSING ABATEMENT ®WASTE TIRE {%r��s �17/ C(JI I <br /> ®UNDERGROUND TANK(MONITORING REMOVAL) -_._- ❑FOOD FACILITY ❑DAIRY �-- I I- <br /> ABOVEGROUND TANK,---'_ ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> I�HAZARDOUS WASTEIHAZARDOUS MATERWL&__' ❑MOTELIHOTEL IR PUMPER TRUCK/YARDICHEMICALTOILETS <br /> ®TIERED PERMITTED FACILITY'\_ POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY B: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 t 209)464-0138 or mall to the address indicated above_ Address <br /> ranges will not be accepted+for additional assistance with file addresses, contact the EHD. Applications received after <br /> 3:00 pm will be processed tke next business day. <br /> 2. The EHD will notify the appli ant 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 hold for a maximum of five business days for review. Appointments <br /> should be scheduled accord ngly. <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 available. <br /> 4. Any file not returned in the Same condition as released will be reorganized by EHD staff at the expanse of the applicant. <br /> Future file reviews by the salne applicant may require a$125 deposit prior to review. <br /> C ' .. T ... <br /> :. ` <br /> CPI" `}'. ': :t' °T. /% ■ ■ <br /> EHD 4808 :A- w' y' f3 /Y l -r ..:. ■ <br /> `-- _ 8IA112 �■ <br /> TP/TA _qnH,4 giw"i ngNnn T-qd FRAggtUlG7.F TA:AT P:TR7,/Tr/9T �- <br />