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Y FrOm:AEI Consultants 408 559 7601OB/ Ot5 13:31 iI675 P.001/001 <br /> IN TE RECEIVED EHD LOG NUMBER <br /> Ink[ � SAN JOAQUIN COUNTY <br /> E�'U JUN 6 2 2015 ENVIRONMENTAL HEALTH DEPARTMENT (812,60 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Max Martinez BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 3880 S. Bascom Avenue CITY/STATE/ZIP: San Jose, CA 95124 <br /> PHONE (1): 408-559-7600 PHONE (2): FACSIMILE:408-559-7601 <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 RE UEST-$130 FEE(CAS R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS01 <br /> C/�Q <br /> SIGNATURE OF APPLICANT DATE 6Ia�l S <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS END USE ONLY <br /> Street 9 Street Name city _ ❑Unit 1 <br /> 1. 1111 Navy Drive Stockton <br /> 1240 Navy Drive Stockton { r � � <br /> 3. 1055 S. Stockton Street Stockton I r w <br /> 4. 1137 S. Stockton Street Stockton WeUnit 3 <br /> 6, Unit 4 <br /> 7 ` �o tvhAeJ I fJ Ftilty a�d6 I CD <br /> $, ❑Unit 5 <br /> 9. <br /> 10, ❑Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> [li NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> THER CLEANUP SITE(NON-LOP) F-1HOUSINGABATEMENT El WASTE TIRE <br /> NDERGROUND TANK(MONITORINGIREMOVAL) F-1FOODFACILITY ❑DAIRY <br /> BOVEGROUND TANK F]CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> AZARDOUS WASTE/HAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY OOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING M COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <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 type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0136 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$125 deposit prior to review. 'BOXED AREA-EHD USE ONLY"* <br /> -z-1 (4 <br /> - 1e W, + "`del Oeetf 1 1, 1- 4t e 1��, , (SIM , LANA <br /> t Lt.Lk VF.A w5t� ,F - o c .tae_ At !„r 41,10 44 L110 Cor III r• q nn <br /> o•^ k1n 3 q b 0 tv 1'bct9 wry 25 7 ave SANv lle for lilt a &J0 a1. <br /> J z Le, W3467 t ql 5 4.A o �3ae in (le V40b It r 14i 11P. <br /> ❑ Records p ovided by St ff-PPR Comple e. staff Name: f6jilej 01,,1(4 l'G G 0,1 3 oil <br /> FHn dann 4128/14 <br /> Received Time Jun. 2, 2015 2: 17P ;&- 8865 Iyer>rIeAUStL1/ey&,rllwoAiwvg u � . <br />