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03/23/2015 13:1559257466P`rl9 AEICONSULTANTS PAGE 01/01 <br /> N 9ME SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> Il N ENVIRONMENTAL HEALTH DEPARTMENT a <br /> i� <br /> MAR 2 3 Z015 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 V1 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Clinton Look BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 2500 Camino Diablo CITY/STATE/ZIP:Walnut Creek,CA <br /> PHONE (1): 925-746.6016 PHONE (2): FACSIMILE:925-746-6099 r <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 REQUEST-$1 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 2� 115 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name City 1 <br /> 1. 3550 South Highway 99 Stocktonu <br /> 2. 3736 South Highway 99 Stockton unit 2 <br /> Unit 3j <br /> D✓eJ Q—Unit 4 <br /> 7. 1 <br /> a. <br /> ❑Unit 5 <br /> 10, v`��^`� aunit 6 <br /> Specific Data Range of Inforrnatlon Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 MEDICAL WASTE FACILITY ®SOLID WASTE FAG ILrTYNEHICLF <br /> OTHER CLEANUP SITE(NON-LOP) Ll HOu5ING ABATEMENT E WASTE TIRE <br /> ®UNDERGROUND TANK(MONrrORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL WASTEWATER TREATMENT PLANT <br /> ®HAzARDOUS WASTEMAZARDOUS MATERIALS ❑MOTELMOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOISODY PIERCING ®COMPLAINTIRESPONSE RECORDS OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 5:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List ug_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 to(209)404-0138 or mall 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 fines 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-EMD USE ONLY'** <br /> . (,,Y,,, � � ca:•��,7�1 ► �, i-�w��,�+�,��Ie�- >73G ��. Hit. <br /> 0� <br /> Ll 0 <br /> Records provided by Staff-PPR Complete. staff Name. <br /> Received Time'Mar. 23. -2015' 1 : 16PM=No. 8383 <br /> 428114 <br />