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IRE CEZIVEDSAN JOAQUIN C60�ti NYNb. Ol ��OZ l� '} 0 WIi P "..��� <br /> 0 o awaniaoa <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> OCT z�13 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www,sjgov.org/ehd <br /> 11IRONIl9ENTAL hiEAL,`�H <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Christina Bay BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 2500 C ino Diablo CITY/STATE/ZIP: Walnut Creek, CA 94597 <br /> PHONE (1): 925.746-6043 PHONE(2): - FACSIMILE'925-74666099 <br /> TENTATIVEAPPO NTMENT DATE: Please call Time: <br /> (Please allow 1 business days from date of applicatlon submittal-`Tenfative only-must be Confirmed) <br /> ❑ CHECK BOX TO EXPE ITE REQUE - CASH OR CHICK ONLY -REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICA T _ DATE /,V /.3 <br /> Electronic Information: List ❑ Map–Defier` Fi5n: <br /> FILE ADDRESS _ EHD USE ONLY <br /> Street# Street Name City <br /> Unit 1 <br /> ©V_ 1. 7945 North EI Do ado Street Stockton <br /> 2. 8003 North EI Do do Street Stockton 1�,� i 3 +i <br /> Unit-2, <br /> �W 3. 7906 North EI Do ado Street Stockton ��j j 1 f VJ I!�'M , U A74 <br /> 4. 8014 North EI Do do Street — Stockton <br /> S. - 171tlnit 3 <br /> 6. <br /> 7. Unit 4 <br /> 8. - <br /> - - - - -� � <br /> 9. i Unit 5 <br /> 10. <br /> 13/Unit 6 <br /> Specific Data Range of information Requested: From ALL To ALL <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> BI UNDERGROUND TANK(UST)CLEMIJP SITE(LOP) ®MEDICAL WASTE FACILITY SOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) 2 HOUSING ABATEMENT ®WASTE TIRE C( F r��s 601(j <br /> 3 <br /> ®UNDERGROUND TANK(MONITORING EMOVAQ) __ ❑FOOD FACILITY ❑DAIRY <br /> �C]ABOVEGROUND TANK_ ❑CHICKEN RANCH!DOG KENNEL <br /> ®WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS M TERIALSC'� ❑MOTELIHOTEL Z PUMPER TRUCKIYARDICHEMicAL TOILETS <br /> ®TIERED PERMrrTED FACILITY_- ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT REC RDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In t e space above. Select the types)of flies from the list above by checking the appropriate <br /> box(es). At least one file ty MUST be selected. Fax t 209 464-0138 or mall t the ad ress indicated above- Address <br /> ranges will not I accepted for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed 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 applica on. 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 available. <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. r�;,e <br /> tF v <br /> -'7.7'-.'7-"'7., <br /> �.,i': .''f, i. '.u:.`•,Y''r.'}Y: .''.• - ;ate:" •Y^ ar.'::• 'i?�•1•••.:I�,r <br /> Al <br /> •+�'k, tdw` „QuI •� ?�ta1Ri�S .±'• �.._ ( 3�;r. '•!=' ■ ■ <br /> 1:HD 43.00 <br /> 1 014112 ■ ■ <br /> TP/TP qIN` I7ngNn ) T--�`i FFRggWg7F, TR:RT P.W/Tri-/RZ X <br />