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DERECEf T61tl F./,,EP .... <br /> EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Aur G Hilo 1868 East Hazelton Avenue, Stockton, CA 95205-6232 E� <br /> � POI� ENrL�i�� igphone: (209) 468-3420 Fax: (209) 464-0138 Web: WWW.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jordan Vida BUSINESS/AGENCY: AEI Consultants . <br /> ADDRESS: 2500 Camino Diablo CITY/STATE/ZIP: Walnut Creek, CA 94597 <br /> PHONE (1): (925)746-6023 PHONE(2): FACSIMILE: (925) 746-6099 <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-$13oi FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street# Street Name city <br /> 493 East 6th Street Tracy tf <br /> 497 East 6th Street Tracy <br /> Uniti- <br /> 500 <br /> 1500 10th Street Tracy WOW C 13/Unit 2 <br /> LAG <br /> ❑Unit 2H <br /> 5. yn'-i n .9I <br /> 6. O'Unit 3 <br /> 7. ❑Unit 4 <br /> 8. J SITE MITIGATION <br /> 9. <br /> 10. I�Unit 5 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITYX❑SOLID WASTE FACILITYIVEHICLE <br /> X❑OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENTX❑WASTE TIRE <br /> X❑UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> RI ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNELX❑WASTEWATER TREATMENT PLANT <br /> x❑HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL '❑PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> X❑TIERED PERMITTED FACILITY ❑POOLISPAX❑LAND USE APPLICATION SITES <br /> ❑TATTOOISODY PIERCING O 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 files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 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 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 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$130 deposit prior to review.- ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: L <br /> EHD 46-06 711/15 <br />