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o AEI CONSULTANTS PAGE 01/01 <br /> -FEC07/16/2012 16:/41 925746609 <br /> EI V ED cited at-1868 Hazelton (near county bldg dept)'-- 0 EHD LOG NUMBER <br /> to <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> illi_ 16 2012 ENVIRONMENTAL HEALTH DEPARTMENT <br /> g <br /> i=N'rALHIALYH 600 East Main St. Stockton,CA 95202-3029 ov.or lehd <br /> Attn: V phone: (209)468-3420 Fax: (209)464-0138 Web: WWWA9 <br /> (p 209.4 PUBLIC RECORDS RELEASE APPLICATION <br /> �� f"�Q,..ti BUS{NESSIAGENCY: A�� ��nJ.rvtr�:s <br /> AppUCANT: Walnut Creek, CA 94597 <br /> 2500 Camino Diablo <br /> CITYISTATEiZiP:- . <br /> ADDRESS: —� FACSIMILE:_ 25 •7`,-x°99 <br /> PHONE(1): 2 <br /> 7�t10 °S PHONE(2}: Time: W-06—v" <br /> TENTATIVE"APPOINTMENT DATE: ?: tis'ucation submittal-'Tentative only-mast be confirmed) <br /> (Please allow 10 business days from date of app <br /> ❑CHECK BOX TO EXPEDITE REQU - <br /> $?;127-FEE H OR CHECK ONLY)-REO,UEST PRODDATEI N BUSINESS <br /> Ui SES; S <br /> SIGNATURE OF APPLICANT <br /> Electronic Information: 0 List El Map–Description: <br /> EHD USE ONLY <br /> FIL- ADDRESS —� Unit 1 <br /> Street# Street Name I .Y City _ { <br /> Cori n-4- S r-�-� UifR��Q �D ��o�l� -10/Unit 2 <br /> ^ <br /> 2. <br /> 3. �c Ih <br /> � n � Unit 3 <br /> 4. { t 1 ' -( t C-A%I. <br /> 5. ._ t t �t' Unit 4 <br /> 6. <br /> 7' 0 U it 5 <br /> unit e <br /> 10. <br /> Specific Dste Range of Information Requested: FromJA <br /> i9 recur 8 <br /> ENVIRONHEALTH DEPARTMENT FILES edo WASTE FACILITYNEHICLE <br /> rtfUNDERGROUND TANK(UST)CLEANUP SITE(LOP) SING ABATEN►ENT <br /> IAJ OTHER CLEANUP SITE(NON-LOP) D FACILITY WASTE71RE <br /> UNDERGROUND TANK(MONRORINGIREMOVAL) KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR KEN RANCH UVASTEWATERTREATMENT PLANT <br /> TIERED PERMITTED FACILITY EUHOTEL PUMPER TRUCKIYARDICHEKCALTOUTS <br /> TATI.OGIBODY PIERCING LISPA LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY ER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: M0NDAV-FRIDAY 8:00 AM-5:D0PM(EXCLUDING HOLIDAYS <br /> 1. Lis ud to tenaddresses 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. 20 )ff"13A or josill to thq addrenIndic. d aboya. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END. 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 fifes 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 END staff may not be immediately available for revlew. 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 END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$122 deposit prior to review. <br /> FWD usa ONLY al-i / I1'1 <br /> z� <br /> p�rnn e <br /> ReceivedTimeJul. 16. 2012 4:44PM No. 0563 <br />