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03/10/2011 10:58 9257466099 AEI CONSULTANTS PAGE 01/01 <br /> RECEIVEDSibmfSlY16n tlPrintFwm <br /> 0 <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> MAR 10 2011 ENVIRONMENTAL HEALTH DEPARTMENT v�� � <br /> �pLHI 600 East Main St. Stockton,CA 95202-3029 <br /> ENVIRONMENTAL HEA (209)468-3420 Fax: (209)464-0138 Web: www.sjgov org/ehd�W* <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: L BUSINESSIAGENCY:AEI Consultants <br /> ADDRESS: 2500 Camino Diablo CITYISTATEIZIP:walnut Creek, CA 94597 <br /> PHONE(1): (415)830-1058 cell PHONE(2): (925)746-8061 office FACSIMILE:(925)74"099 <br /> TENTATIVE'APPOINTMENT DATE! 312412011 Time: <br /> (Please allow 10 business days from data of application submittal--Tentative only.-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQVEST-$115 FEE( ASH OR GK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 3/10/2011 <br /> Electronic information: ❑ List n Map—Descr on: <br /> FILE ADDRESS EHD USE ONLY <br /> n ' Street# Street Name city Unit 1 <br /> �(n 1. 287 North Cardinal Avenue Stockton Q� / <br /> lJ. Z, ❑unIt2 <br /> 3. _ <br /> 4, unit 3 <br /> D�t4 �Iy <br /> g, ❑Unit s <br /> 9. <br /> 10. Q unit <br /> Specific Data Range of Information Roquested! From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FIL I- <br /> 2] <br /> UNDERGROUND TANK(LIST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT Q SOLID WASTE FACILITYNEHICLE <br /> Q OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY Q WASTE TIRE <br /> R1 UNDERGROUNo TANK(MONITORINGIREMOVAL)a ❑DOG KENNEL ❑DAIRY <br /> Q HAZARDOUS WASTE GENERATOR E]CHICKEN RANCH ✓❑WASTEWATER TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY K_ ❑MOTELMOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATIDOIBODY PIERCING ❑POOIJSPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑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 addrggses 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(2Q91 464-0138 or mall to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END. Appllca6ons received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD Wfll notify the applicant If any END files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flies 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 CHID staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$115 deposit prior to review. <br /> 5. if you need further assistance,please contact Diane Martinez,at(2D9)468.3425. <br /> Z vse ONLY <br /> -I n P• <br /> IF <br /> EHD 43.66 W27109 <br />