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DAI.i RECEIVED FHn I OGi w iMRFR <br />SAN JOAQUINCHS8'°NYAdcu:l 5106 '96'1dV aril PaAiaaad <br />RECEIVED ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232Aft <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/®hd �- <br />APR 2015 x <br />�,Ar�,.,:,, Cb <br />PUBLIC RECORDS RELEASE APPLICATION W <br />ENV WRVr M <br />PI~F?MITISERVICES Jessica Gonzalez <br />APPLICANT: Ldonzalez(aaeiconsultants_com BUSINESSIAGENCY: 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 E=XPEDITE 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 <br />EHD USE ONLY <br />Unit 1 <br />J <br />nit 3 <br />1. <br />qtr t # <br />X6421 <br />Street Name <br />Paddock Place <br />City <br />Lodi <br />(unincorporated) <br />2. <br />4/zV <br />l <br />3. <br />4. <br />5. <br />V4 ..V -a i1i <br />Unit 4 <br />- <br />— <br />7. <br />1(6�- <br />Unit 5 <br />8. <br />9. <br />nit 6 <br />0]� <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ® MEDICAL WASTE FACILITY ® SOLID WASTE FACILilYNEHICLE <br />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 WASTE/HAZARDOUS MATERIALS ❑ MOTEUHOTEL ❑ PUMPER TRUCKIYARDICHEMICAL TOILETS <br />® TIERED PERMITTED FACILITY ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br />❑ TATTOOaow 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 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 indicatel above Address <br />ranges will not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after <br />3:00 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 five 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 />Future file reviews by the same applicant may require a $125 deposit prior to review. <br />