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11/28/201 1 9257466099 AEI CONSULTANTS PAGE 01/01 <br /> REC- <br /> DATE RF_Cf=1�'ED 00 � EHD LOG NUMBER <br /> NOV 2 82011 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Att8N'0R@P0ENTALHEALTH, 600 East Main St, Stockton, CA 95202-3029 <br /> (p 20� N.55 JICTlephone: (209)468-3420 Fax: (209) 464-0138 Web; www,sjgov.org/ehdF C <br /> o� <br /> ����)J PUBLIC RECORDS RELEASE APPLICATION / <br /> APPLICANT: Virginia Poole BUSINESS/AGENCY:AEI Consultants <br /> ADDRESS: 2500 Camino Diablo W �_ _ CITY/STATE/ZIP: Walnut Creek, CA 94597 <br /> PHONE(1): 925-746-6032 PHONE (2): FACSIMILE: 925-746-6099 <br /> TENTATIVE*APPOINTMENT DATE; Time: <br /> (Plaase allow 10 business d s from date of cation s Ittal-'Ten(ative only-must be confirmed) <br /> El CHECK BOX TO EXPEDITE=RE ST-$122 FEE CASH Fj C ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1( 2$ ?-o( <br /> Electronic Information: 77 List 0 M -Description: <br /> FILE ADDRESS ACr'rA;- RHD USE ONLY <br /> Street# Street Name Glty <br /> 3965 Wilcox Road Stockton <br /> 2, 1104 East Turner Road T.od.i. � '4iC. iOlSj1C� -�'_1' I <br /> 11_ Unit 2 <br /> 3. <br /> 4. <br /> -- --- -- Unit 3 1 <br /> 5. <br /> 6' nit 4_ <br /> 7. <br /> 8. <br /> I Unit 5 <br /> 10. ��.0'J� t Vj"!/1Unit <br /> Specific Data Range of Information Requested: From A r ecoY s On file. to _ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUNo TANK(UST)CLEANLIP SITE(LOP) J HOUSING A13ATEMENT SOLID WASTE FACILITYIUEHICLF. <br /> OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY MOTELIHOTEL PUMPER TRUCKNARDICHEMICAL TOILETS <br /> TATTOO/BODY PIERCING POOL/SPA LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY OTHER(PLEA$E SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-E5:00PM(EXCLUDING HOLIDAYS <br /> I. List up to 1P'0­1aQqj=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 abova. 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 bo <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$122 deposit prior to review. <br /> EH9 USE PMI.Y <br /> EHD 4806 <br /> 07x29110 <br />