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R�/ g!••—.AQ 9257469 AEI CONSULTANTS PAGE 01/01 <br /> DATE RECEIVED 4r EHD LOG NUMBER <br /> MAY 0 l Z`J`,C SAN JOAQUiN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> At� ENTAL HEALTIA 600 East Main St.Stockton, CA 95202-3029 <br /> (P zo . gijj ICnlephone: (209)468-3420 Fax: (209)464••0138 Web: www.sjgov.org/ehd <br /> 9 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: _�'oc)t'e _ BUSINESSIAGENCY: I�(,.j¢I�l��^L� <br /> ADDRESS: 2500 amino �Diiablo CITY/STATEIZIP:Wal.nut. Creek, CA 94597 <br /> PHONE(1): g7ir7" I��`(QZ- PHONE(2):a2A* 146-VOd0 FACSIMILE: -1t•'�1a-(a:IQ� <br /> TENTATIVE`APPOINTMENT DATE: qt( I I'7.�12 M61.tI (`L.- Time: abim LLA 3 _ _— <br /> (Please allow 10 busirms$days fro data of plieatio submlltal•'Ten - only-must be confirmed) <br /> © CHECK BOX TO EXPEDITE REQ - PEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE r—2. 7-- <br /> Electronic <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city Q Onit 1 <br /> t2. <br /> St. stacl�tar� .1 NJ/ /punit2 <br /> �Y-- -3. <br /> ***Please respond as soon as possible.. I need to notify applicant during week of 5/14/12 if <br /> s. EHD has files for listed addresses or not. A Unit <br /> t. <br /> $ i 171 unit IS <br /> 110. Unit <br /> to <br /> Specific Data Range of Information Requested: From X•2CDr 8 OTl 1 e. <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDERGRouND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT SOLID WASTE FACIUTY[VEHICLE/� '�y�ytt <br /> OCHER CLEANUP SITE(NON-LOP) FOOD FACILITY ]WASTE TIRE uni t3, <br /> UNDERGROUND TANK(MOMTORINGIRENOVAL) A, DOG KENNEL DAIRY cf.-j7-1Z_ <br /> HAZARDOUS WASTE GENERATORA CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITYQ< MOTEUHOTEL PUMPER TRUCKNARDICHEMICAL TOILETS <br /> TATTOOIBODY PIERCING POOUSPA LAND Wit APPOCAnoN SITES <br /> MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:DOPNI(EXCLUDING HOLIDAYS) <br /> 1. List up to fen addresses in the space above. Select the types)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Kax to 12 091 464-01 38 or mail to.the addms5jnd1acted above- Address <br /> ranges will not be accepted-for additional assistance with file addresses,Contact the EHD. ApplicatienS received after <br /> 3:00 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(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for re,,riew. 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 reRuire a$422 deposit prior to review. <br /> EHE)use QMY <br /> 072v4o •� <br /> EHn48-06 ,Af' , <br /> 1� <br /> ,it`11,1 <br />