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Moo 03/23/2015 13:15 9257466P-q AEICONSULTANTS PAGE 01/01 <br /> ■ ■ 11MEWE, SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ■ ■ ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAR 2 3 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web., WWw,Sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SFRVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Clinton Look BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS. 2500 Camino Diablo CITY/STATE/ZIP:Walnut Creek,CA f �7 <br /> PHONE (1): 925-746.6016 PHONE (2): FACSIMILE:925-746-6099 I V <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 REQUES -$1 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT - DATE S j tS/ 15 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 9 Street Name City <br /> 1. 3550 South Highway 99 Stockton <br /> 2. 3136 South Highway 99 Stockton <br /> _ unit 2 <br /> 3. I t�.Arh <br /> 4. <br /> s. ,--ElU ft3 ,7;1 <br /> 6. 011W12 ` ��5 0.rx.l 0_Unit4 <br /> 7. <br /> ❑Unit 5 <br /> 10. <br /> Specific Data Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY ®SOLID WASTE FACILnYNEHICLE <br /> OTHER CLEANUP SITE(Now- OP) LI n HOUSING ABATEMENT Z WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑I)AIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCHf DOG KENNEL Z WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOLISPA ❑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 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(209)404-0138 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 Idantffying 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. ""DOXED AREA-EMD USE ONLY'*' <br /> (&, co, e, G I4%N. Hit. <br /> -b"u, <br /> ISVG cv,� �uC,re�` t (.c?U: -71S4; . <br /> r, � L C-31'Q,7 I(,m NSt Vile- ofJ -p jA t.l <br /> Records provided by Staff-PPR Complete. staff Name: <br /> Received Time—Ma r. 23. -2015= 1 : 16PM=No. 8383 <br /> 4nar,4 <br />