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EPEE From:5103383192 01/22/T016 11:53 #044 P.001/00.1 <br /> ®EE � <br /> E <br /> SEE EHD LOG NUMBER <br /> DATE RECEIVED BB SJOAQUIN COUNTY <br /> SEE AN 1=n /I�n `tom!/�� TFI {�1 _ f <br /> >'\ ... <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> JAN 2 6 20id-eiephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.o�/�f� <br /> ENVIRoNmENTALHEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> E C" P <br /> APPLICANT: Clinton Look BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 520 3rd Street, Suite 209 CITY/STATE/ZIP: Oakland,California 94607 <br /> PHONE (1): 510-907-3145 x2 104 <br /> PHONE (2): FACSIMILE: 510-338-3192 <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 REQ S -$730 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT - DATE 1/22/2016 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name I City <br /> 1• 15380 i, YJI Lathrop <br /> 2. 15380 McKinley Avenue Lathrop ❑ Unit I <br /> -3 `Unit 2 <br /> 4. <br /> E]Unit 2H <br /> 6 tD,0WIt 3 <br /> 7glbnit 4 <br /> 8. E'SITE MITIGATION <br /> 4 10 / ® Unit 5 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> aUNDERGROUND TANK(UST)CLEANUP SITE(LOP) Q MEDICAL WASTE FACILITY E-,SOLID WASTE FACILITY/VEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) 0 HOUSING ABATEMENT [WASTE TIRE <br /> ®UNDERGROUND TANK(MON rrORINGIREMOVAL) ❑FOOD FACILITY ®DAIRY <br /> ©ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL [WASTEWATER TREATMENT PLANT <br /> ❑HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARD/CHEMICALTOILETS <br /> Q.?IERED PERMITTED FACILITY ❑POOLISPA DIAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ®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 ur)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: <br /> 7/1115 <br /> EHD 4M6 <br /> Received Time Jan. 22, 2016 10: 53AM No- 0382 <br />