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DA�AFE"B IV I SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> � 14 � ENVIRONMENTAL HEALTH DEPARTMENTZqO&O 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> • ENVIRONwiENTAL HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> nnA— n,Dr. <br /> APPLICANT: Clinton Look BUSINESSIAGENCY: AEI Consultants <br /> ADDRESS: 520 3rd Street, Suite 209 CITY/STATEIZIP: Oakland, California 94607 <br /> PHONE(1): 510-907-3145 x2104 PHONE(2): FAX OR E-MAIL: CLOOK@aeiconsultants.com <br /> Please allow 10 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 /> SIGNATURE OF APPLICANT DATE 7/14/2016 <br /> 1. List up to ten addresses in the space below. Select the type(s)of files from the list below 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.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 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 /> 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$130 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES � D USE ONLY <br /> ®UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) N" ❑CONSUMER <br /> North Church Street h� <br /> HAZARDOUS WASTE ❑DAIRI <br /> TIERED PERMITTED FACILITY Z 1'7 <br /> Louie Street Lodi <br /> ABOVEGROUND TANK <br /> Pus <br /> UST (MONITORING I REMOVAL) <br /> HAZARDOUS MATERIALS D 1 <br /> SPILURELEASE RESPONSE West Turner Road Lodi {�22 <br /> SOLID WASTE FACILITY/VEHICLE 4 110 East Turner Road Lodi I/& <br /> ❑FOOD FACILITY <br /> ❑POOL/SPA lY I'P—f r� SITE MITIGATION <br /> ®DAIRY 5 711 North Sacramento Lodi yJ <br /> ®LAND USE APPLICATION SITES HOUSING <br /> ®SEPTIC PUMPER TRUCK/ 6 �Y/IL+,�k [3YARD/CHEMICAL TOILETS w, <br /> WASTEWATER TREATMENT PLANTA4y,1 CUPA <br /> HOUSING ABATEMENT T <br /> MOTEUHOTEL <br /> ❑ yJ CUPA:M112-TvrAF <br /> I to- <br /> CHICKEN RANCH/DOG KENNEL <br /> 8 <br /> MEDICAL WASTE FACILITY <br /> ❑TATTODIBODY PIERCING SOLID W&GTE <br /> WASTE TIRE 9 <br /> COMPLAINTS <br /> OTHER(PLEASE SPECIFY): ❑ACCOUNTING <br /> TD <br /> "BOXED AREA-EHD USE ONLY*** <br /> [E3 =Providedff-PPR Complete. Staff Name: <br /> EHD 4846 <br />