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05/20/2011 12: 32 40855°-01 AEI SAN JOSE PAGE 01/01 <br /> a <br /> DATE RECEIVEi7 SAN JOAQUIN COUNTY <br /> fjEcENED ENVIRONMENTAL, HEALTH DEPARTMENT <br /> 600 East Main St.$tockton, GA 952023029 ' ovh <br /> MAY ,a "�G"' Telephone: (209)468-3420 Pax. (209)464-0138 Web: s19 ,oT 9 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> P�� j 4��a1=i� �ix�d� 11E1NES�/AGEN�1f:AEI Consultants <br /> AQDRESS: 3880�.Rast�m Avenue, #108 C(TY/STAT1siZIli�: <br /> San Jt7ElEs. CA 95124 <br /> (�WORiE(1)- 83�. 295 97'25 PHONE(2):khindt�seiconsultant$.c PAC�►IKIiILE:408-5597601 <br /> 7ENTA77VE*APPOINTMENT DATE: <br /> Time: <br /> (Please allow 10 business days fmm dots aaf ePOIca M subnsinst-"Tar09dve c"IV-must be eonfl ) <br /> n CHECK BOX TO EXPEDITE REQUEST-$11 FE (O 5H OR CHECK ONLY)-REQUEST PROCESSED <br /> 153 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT —�-�— <br /> 0-11 <br /> Electronic Information: ❑List®IMap P Description: <br /> Elia U3i°ONLY <br /> FiLe ADDRESS <br /> C <br /> Street NAmacity 1771 Urtit 1 <br /> 1. 2015 N.MacArthur Drive Tracy <br /> 2. 2219 N.MacArthur Drive Tracy unit 2 <br /> 2J3. 2227 N•MacArthur Drive Tracy <br /> 4. 2235 N.MacArthur Drive Tracy _ Unit a <br /> E.Grant Line Road Tracy � '��� W'�� <br /> 6. 42ia <br /> 0 460 E.Grant Line Road Tracy Ll `; nit 4 <br /> 7. <br /> 500 E.Grant Peine Road Tracy <br /> >3, 502 E.Grant Line Road Tracy ` unit s <br /> 9. <br /> unit 6 <br /> 1d. <br /> to <br /> Spedfic <br /> Date sof Irrformativn RRWu Fmm } Q� <br /> ENVIRONMRNTAL HEALTH DEPARTMENT FILLS SOLID WASTE FAGI.rTYNEHiCLE <br /> ❑UNDER.GROUNO TANK(UST)CLEANUP WE(LOP) ❑HOUSING ABATPMFNT ❑ <br /> [�FOOD FACILITY �I WASTE TIRE <br /> Q <br /> OTHER CLEANUP SITE(Now-LOP) CIAIRY <br /> ❑ <br /> Q UNDERGROUND TANK(moNiTORINGIREMOVAL)N ❑DRB KENNEL DAIRY <br /> Q HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTFWATER TREATMEMOTENTPUMPER TRUCKMARDICHEMICALTOILETS <br /> ❑✓ TIEREO PERMITTED FACILITY El PGOU 1N0TEL PA ❑LAND USE APPLIC00N SiTES <br /> ❑TATT001BODY PIERCING ©OTHER(P <br /> ❑MEDICAL WASTE FACN.iiY ®OTHER(PLEASE SPEGiFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MOND FRIDAY�=�AM-5:i1(iPM(EXCLUDING HOLIDAYS) <br /> riao <br /> 1. in the space above. Select the types)of tiles from the list above by checking the apprnptal <br /> box(os). At least one file pe MUST be selected. <br /> ___ =, e,_h <br /> .� eAas..E MALI 12 n a address Ind{sated above Address <br /> ty <br /> rangers will not be accepted-for additional assistance with file addraases,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will no*the applicant If any EHD files exist An appointment far review will be confirmed approximately ten('10) <br /> days afar receipt of application. The fees will be held for a maximum of five business days for review. Appointments <br /> should be scheduled scGordingly. <br /> S. 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 file expense of the applicant. <br /> Future file reviews by the same applicant may require a$115 deposit prior to review. <br /> 5. if you need further assistance,Please contact Diane Martlnea,at(209)4611,8425. <br /> arae MLY <br /> r <br /> Aier r1 <br /> i7; CI <br /> IOL2) <br /> EWP 40.05 <br />