Laserfiche WebLink
DATE RECEIVED - -' FHD 1 Or NunnaGR <br /> ' <br /> SA C86S8 ' IN1Ntld SIOZ '8Z ' d � ,1 RP I <br /> p Id aWl ;Ala <br /> RECEIVED�� ENVIRONMENTAL HEALTH DEPARTMENT <br /> '! 1668 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> APR 2 8 2015 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> kvl> <br /> iNVu� "��' LiPUBLIC RECORDS RELEASE APPLICATION <br /> � '=�`k'� <br /> PERWFISERVICES Jessica Gonzalez <br /> APPLICANT:igonzalazCa?aeiconsultants_com BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 2500 Camino Diablo CITYISTATE/ZIP: Walnut Creek, CA 94597 <br /> PHONE (1): 925-746-6050 PHONE(2): FACSIMILE:925-746-6099 <br /> TENTATIVE'APPOINTMENT DATE: Please call Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name ,City El Unit 1 <br /> Lodi <br /> 1. 6421 Paddock Place (unincorporated) I L� <br /> 2. 01.1 �Fo4 1 arP. ��; �1y_Q ileg u it 2s <br /> 3. rJWa <br /> 4- -(� r Unita <br /> 5. <br /> Vnit4 f <br /> 7. <br /> 8. <br /> Unit 6 <br /> 9. <br /> 10. Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITS(LOP) ®MEDICALWASTEFACILITY ®SOLID WAVE FACILHYNEHICLE <br /> Z OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGiREMOVAL) ❑Fool)FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOU$MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ®TIERED PERMITTED FACILITY. ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 6:00 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-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3tOO 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 flies will be held for a maximum of flue 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 /> �11 Future filereviews by the same applicant may require a$125 deposit prior to review. 'iriaMa'wiar�I'n='ac' '`�°rrt <br /> "A- q ,�fl h 1 h fl9i '�'. . $I sa'``ri v ; 9�.:,ls•4 . .-.+,L+" a r P rr r r V ...'. <br /> W".'.77SYi�'4,ra nL� Ji1`n;t wr tSk'.,_ 1 i1✓ II�:E,, <br /> ■ <br /> r y to 1.1;11'}■ <br /> � I r i � 'N' p.. � 9�4 A r' 1 �■ <br /> 1' l h-lfn9l4ietlT. Cfa4F� �T ■% <br /> p���.�r� p�.����qqttom�•�`� pppp_p� s <br /> I�.BeesaEcls��'1f4ipSl.SIG .e.'2:dLM1.I JHa�. -. ,_,i. ._ . t {:. _-.�,. . :4.J'_. .�L._ i t■ <br />