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W-'7 06/16/2014 14:07 9257466 AEI CONSULTANTS PAGE 01/01 <br /> DATE RECEIVED • 0 MBER <br /> pt SAN JOAQUIN COUNTY n <br /> RECEIVE® . ENVIRONMENTAL HEALTH DEPARTMENT O F, Jv( <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> JUN 16 2014 Telephone: (209)468-3420-Fax.- (209)464-0138 Web: www.sjgov.org/ehd <br /> r-NVIRONMENTAL HEALTH <br /> PERMITISEHyicEs PUBLIC RECORDS RELEASE APPLICATION <br /> 'l <br /> APPLICANT: 2MC7 COVN—b <br /> BUSINESS/AGENCY: tlT� l COtJSU _ <br /> ADDRESS: C#rm ()t�_ CITY/STATEIZIP: W <br /> PHONE(1): 25- b- 6 PHONE(2):_.�1S' 1�' I1l4l FACSIMILE: 115- N(o-1p0` 1 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal--Tentef(va only.must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$125 EEE(CP#Ij OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE re 20 <br /> Electronic Information: ❑List© Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streety# Street Name City <br /> poi) MMP DUnki <br /> 2. <br /> 3. El Unit 2 <br /> 4. �7, <br /> u <br /> S. nit a 7 <br /> 6. / <br /> i unit <br /> 7. Ej s <br /> Unit5 <br /> I1L <br /> Unit 6 <br /> Specific Date Range of information Requested: From to - <br /> w�v11 ENVIRONMENTAL HEALTH DEPARTMENT FILES gS <br /> �y UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENTSOLID <br /> ®OTHER CLEANUP SITE(NON-LOP) El FOOD FACILITY ❑WAST E TIRE WASTE FACILITYNEHICLE or <br /> ,UNDERGROUND TANK(MONITORINGIREMOVAL) El DOG KENNEL ElU AIRYLl <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH <br /> ®TIERED PERMITTED FACILITY ❑MOTEUHOTEL Ei--]l WASTEWATER TREATMENT PLANT E 2 <br /> ❑TATTOOBODY PIERCING ❑POOUSPA 0 PUMPER TRUCKICATION SITES TOILETS <br /> ❑ MEDICAL WASTE FACILITY ❑LAND USE APPLICATION SITES <br /> ❑COMPLAINT RECORDS El 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 tha.type(s)of files from the list above by checking the appropriate <br /> box(es). At least one Nle type MUST be selected. Fax to(209)464-0130 or mall to the address Indicated above Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD: Applications received after <br /> 3:DO pm will be processed the 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(1D) <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 /> 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. <br /> EHO USE ONLY <br /> a3 7 C o S 01 <br /> a �) <br /> C <br /> EHOG 06 <br /> 8nnt <br /> Received Time Jun. 16. 2014 2: 12PM No. 6378 <br />