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-- - -------- <br /> Fl..:AEI 408 559 7601 03/28/ 07:21 #094 P.001 /001 <br /> DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT 9/ Oq <br /> q9 0 1AUS S�fil 11A,LI 3 d 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> one: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> lc"IN 91fl� VH PUBLIC RECORDS RELEASE APPLICATION <br /> A Carruthers BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 3880 S. Bascom Ave CITYISTATEIZIP: San Jose, CA 95124 <br /> PHONE(1): 408-559-7600 PHONE (2): FACSIMILE:408-559-7601 <br /> TENTATIVE*APPOINTMENT DATE: Please call or email Time: <br /> (Please allow 10 business days from date of application submittal.-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE March 28, 2013 <br /> Electronic Information: [-] List[I Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street#d Street Name city E]Unit I <br /> 1. 1448 North Shaw Road Stockton <br /> I <br /> 2. dunit 2 <br /> 3. <br /> 4. /dUnit 3 <br /> 6. 0 Unit 4 <br /> 7. <br /> 8. [711units <br /> 9. <br /> 110. 1 1 <br /> Unit 6 <br /> .Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 MEDICAL WASTE FAciLnY E SOLID WASTE FACturrylvEmicur <br /> OTHER CLEANUP SITE(NON-LOP) 0 HOUSING ABATEMENT ®WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) El FOOD FACILITY Ej DAIRY <br /> ABOVEGROUND TANK El CHICKEN RANCH/DOG KENNEL 0 WASTEWATER TREATMENT PLANT <br /> E3 HAZARDOUS WASTE[HAZARDOUS MATERIALS [-]MOTELIHOTEL PUMPER TRUCKIYARDICHEmicAL TOILETS <br /> EK TIERED PERMITTED FACILITY El PooijSPA ❑LAND USE APPLICATION SITES <br /> F-1 TATTOOIBODY PIERCING ER ComPLAINTRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Am-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ton 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-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 files 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. '11*01-05;%ft <br /> ........... <br /> �%K e <br /> US <br /> J� <br /> a-, <br /> Recepyed Time Mar. 98. 2M 8:90AM No. 2687 <br />