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06/03/2011 12:18 5257466049 AEI CONSULTANTS PAGE 67/01 <br /> E W i <br /> . + EHTa LOG NUMBER ' <br /> SAN' <br /> 'JOAQUIN COUNTY <br /> AUG 0 3 2.011 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> ENVIRONMENTAL_HEAL:�qlepHone: (249)468-3420 Fax, (249)464-0138 Web: www.sjgov.org/ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jesse Re ala er dBUSINESSIAGENCY: AEI Consultants <br /> ADDRESS- 2500 Camino Diablo CITYISTATEOP: walnut Creek CA 94597 <br /> PHONF(1),' 925-746-6047 PHONE'{2); 413-237-0551 FACSIMILE: 925,-746-60,99 <br /> TENTATIVE"APPOINTMENT DATE: • Time: <br />,I (P10aso allow 10 bmIness days from data of apprlcetion submlttai *Tentative only-must be confirmed) <br /> a <br /> []CHECK BOX TO EXPEDITE REOLi T-$122 FE "(CASH OR CHECK ONLY)-REQUEST PRQGES$ED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT rgag2o PATE <br /> 8/3/11 <br />' Electronic Information: ❑List Map—Description: <br /> FILE ADDRESS EHO USE ONLY <br /> Street d Street Hama city Unit 1 <br /> �• 9854 Lower Sacramento Road _Stockton <br /> x, 9900 Tower Sacramento Road Stockton Hite �l <br /> 4. 1 U I <br /> 6. <br /> 6. .� Unit 4 .. <br /> I T• <br /> 8 <br /> ©Unit s <br /> 9. <br /> 5pocifle Date Range of information Requested: Kram to <br /> ENVIRONMENTAL.HEALTH DEPARTMENT I"TLES *.�')'A <br /> MI Vl UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATLMENTLID WASTE FACIUTYNEHICLE <br /> OTHER CLEANUP SrrE(NON-LOP) ❑F000 FAriLm STET1Rt <br /> 1NDERGROUNn TANK(MoN[TQRiNGIREMOVAL) ❑000 KmNEL ❑DAIRY <br /> PIAZARDOUS WASTE GMERATOft ❑CHICKEN RANCH STEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> l ❑TATTooIBODV PIERCING ❑POOL/SPA 2AND USE APPLICAT1oN SITES <br /> ❑ MEDICAL.WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> i4 WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REy1Ew: MONDAY.FFWAY 8:00 AM-6:0013M f 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(2091494-0138 or mail to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications receiv4d after <br /> 3:44 pm will be processed the next business day. <br /> 2. The E:HO 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 hetd 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 51.10 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 tate 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$122 deposit prior to reviow. <br /> CHID use ONLY <br /> f <br /> EHD ae-ne o��xsr�a <br /> i <br />