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G® <br /> r t 03/24/2016 16:50 0102 P.001/001 <br /> Rn G 6 tl Com"` <br /> OA DATE RECEIVED EHD LOG NUMBER <br /> a 0 iNK 7 5 Z[I SAN JOAQUIN COUNTY <br /> own ENVIRONMENTAL HEALTH DEP t x 2�27Z <br /> • ENVIRONMENrALHEALTH 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> PERMITISERMCM1 leph one: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Sarah Canniff BUSINESSIAGENCY:AEI Consultants <br /> ADDRESS: 520 3rd St, Suite 209 CITY/STATEIZIP:Oakland, CA 94607 <br /> PHONE (1): 510-907-3145 x 2108 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 /> SIGICHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SI NATURE OF APPLICANT DATE 3/24/16 <br /> Electronic information: ❑ List❑ Map— Description: <br /> _ FILE ADDRESS EHD USE ONLY <br /> Street# 1 Street NameCity Unit 1 <br /> 1. 1250 E Lathrop Road EL7athrop y'Aarl i 1'—La -- <br /> 2. 1444 1 Lathrop Road Lathrop unit2 <br /> 3. 15789 S McKinley Avenue Lathrop4. <br /> 6. El Unit 4 <br /> ---------- -------- <br /> 7S_1 <br /> -- ---_ -- Unit 5 I0 <br /> 0rj)Hrt" <br /> Specific Date Range of Information Requested: From All records to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> N UNDERGROUND TANK(UST)CLEANUP SITE(LOP) N MEDICAL WASTE FACILITY N SOLID WASTE FACILITYNEHICLE <br /> N OTHER CLEANUP SITE(NON-LOP) ®HOUSING ABATEMENT N WASTE TIRE <br /> N UNDERGROUND TANK(MONITORING/REMOVAL) ®FOOD FACILITY N DAIRY <br /> N ABOVEGROUND TANK N CHICKEN RANCH/DOG KENNEL N WASTEWATER TREATMENT PLANT <br /> N HAZARDOUS WASTEIHAZARDOUS MATERIALS ®MOTEL/HOTEL N PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> N TIERED PERMITTED FACILITY N POOLISPA N LAND USE APPLICATION SITES <br /> N TATTOO/BODY PIERCING N 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 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""` I <br /> Nv1 til I 4fe-t VAe WW &I II.(Hy Viet C <br /> i <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-e6 428114 <br /> Received Time Mar. 24. 2016 4:48PM No- 0620 <br />