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1 From:AEI Consultants 406 559 7601 06/ 015 13:31 4675 P.001 /001 <br /> 1 TERECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> IrREC'D JUN 02 2015 ENVIRONMENTAL HEALTH DEPARTMENT 9112,60 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Max Martinez BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 3880 S. Bascom Avenue CITY/STATEIZIP: San Jose, CA 95124 <br /> PHONE (1): 408-559-7600 PHONE (2): FACSIMILE:408-559-7601 <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-$130 FEE(CAS R CHECK ONLY)-REQUEST PROCESSED INl3 BUSINESS DAYS C, <br /> SIGNATURE <br /> SIGNATURE OF APPLICANT DATE 6�2lI S <br /> Electronic Information: ❑ List ❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name City ❑Unit 1 <br /> 1. 1111 Navy Drive Stockton rn t 5 Mr <br /> 1240 Navy Drive Stockton { r V90vKh? <br /> 3. 1055 S. Stockton Street Stockton <br /> 4. 1137 S. Stockton Street Stockton 4 Unit 3 <br /> S. <br /> 6• /} unit a <br /> 7. �ndv5ltl �5 Alo ant ICO <br /> 8• ❑Unit 5 <br /> 9. <br /> 10. <br /> ❑Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYlVEHICLE <br /> THER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTETIRE <br /> NDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> BOvEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> AZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> TIERED PERMITTED FACILITYOOL(SPA ❑LAND USE APPLICATION SITES <br /> ❑TATToOIBODY PIERCING �OMPLAINTIRESPONSE 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$125 deposit prior to review. 'BOXED AREA-EHD USE ONLY' <br /> fa,_-Zw) -Calle ui ���1 9e& 0i -t 7' � r , ' li,�. , ' ,l;C,,' 1x011` � pv <br /> Fe 't - Ltf_-k rte+ as6 4'A aCo,( aete- nl b,r 4Lle 6 blw Ccr!qt"l r. pial <br /> b,1 <br /> o•^ n� 3 q-Sc6 0 w 1$Gt� An� 25 hre Sn{IC I-1v le 4r illi n Iy ,�O a1� <br /> tJ z Ct� csU3dG L ql 5 o n3a'e' 'M+.e 4 IJb)it, t I I H I (3t. <br /> ❑ Records provided by St ff-PPR Comple e. Staff Name: fdpo ji Je ft, WN 066 G -k C 0 wo t 3 th+ <br /> ReceReceived <asna <br /> ed Time(\J un. 2. 2015 2, 11 No. 8865 �>vted ttS� Vlee 44,r l�.wo "wj Or uk,UJ . <br />