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®pp N'�r!�'B E \i`trCC....00 03/24/2016 16:50 4102 P.001/001 <br /> p X DATE RECEIVED V Ee <br /> pp _ EHD LOG NUMBER <br /> R <br /> SAN .JOAQUIN COUNTY <br /> ® MAR 2521018WOW <br /> ps�'r <br /> ENVIRONMENTAL HEALTH DEP <br /> ENVIRONMENTAL HEALTH 1868 East Hazelton Avenue, Stockton, CA 95205-6232 2�27Z <br /> PERMIT/SERVICESIephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Sarah Canniff _ BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 520 3rd St, Suite 209 CITY/STATE/ZIP: Oakland, CA 94607 <br /> PHONE (1): 510-907-3145 x 2108 PHONE (2): FACSIMILE:510-338-3192 <br /> Please allow 1D 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 REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SI NATURE OF APPLICANT 6y ___ DATE 3/24/16 <br /> Electronic Information: ❑ List ❑ Map –Description: <br /> FILE ADDRESS _ EHD USE ONLY / ^ <br /> Street# Street Name City _E7/Unit 1 <br /> — I <br /> 1. 1250 E Lathrop RoadAerl <br /> — Lathrop , <br /> 2. 1444 La ht; rop Road Lathrop_ �y f le � ' �� umt2 <br /> -- - -- <br /> 3. 1578?____ S McKinley Avenue _ Lathrop N�C'Fwta <br /> 4. Unit 3 J( Oi <br /> 5. �,` <br /> 6. _ I J <br /> --- -------- �—'b--- ❑Unit 4 tl: <br /> 7. <br /> ..-. Unit 5 <br /> 9. <br /> --�----------------------------; ------- she Mi �� <br /> 0. <br /> 1 . <br /> wwm" <br /> Specific Date Range of Information Requested: From All records to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY ®SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ®HOUSING ABATEMENT ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ®FOOD FACILITY ®DAIRY <br /> ®ABOVEGROUND TANK ®CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ®MOTELMOTEL ®PUMPER TRUCK/YARD/CHEMICAL TOILETS <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 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 rile 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 riles 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 /> Nvl 6+ 1 X70 t ' I(ej1r.0 w l I4Iwu utV14 CrX <br /> i <br /> LO <br /> Records provided by Staff-PPR Complete. Staff Name: <br /> EHD". 6 428/74 - <br /> Received Time Mar. 24. 2016 4:48PM No, 0620 <br />