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D I � EHD LOG NUMBER <br /> p'19 n-� SAN JOAQUIN COUNTY <br /> 8ENVIRONMENTAL HEALTH DEPARTMENzqo�o <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> • ENVIRC)NMENTAL H EALTH PUBLIC RECORDS RELEASE APPLICATION- <br /> APPLICANT: Clinton Look BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 520 3rd Street, Suite 209 CITY/STATE/ZIP: 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 reviewthe 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 un 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 <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES �H® USE ONLY <br /> ®UNDERGROUND TANK(UST) Street# Street Name city <br /> CLEANUP SITE(LOP) Q CONSUMER <br /> North Church Street <br /> HAZARDOUS WASTE DAIRY <br /> TIERED PERMITTED FACILITY 2 17 <br /> Louie Street Lodi <br /> �ABOVEGROUNO TANK <br /> C <br /> UST (MONITORING/REMOVAL) PAIS <br /> HAZARDOUS MATERIALS B 1 <br /> West Turner Road Lodi <br /> SPI WRELEASE RESPONSE WPTE0.OVAIITY <br /> SOLID WASTE FACILITY/VEHICLE < 110 East Turner Road Lodi <br /> FOOD FACILITY <br /> POOL/SPA SITE MITIGATION <br /> North Sacramento <br /> ®DAIRY 6 711 Lodi <br /> ®LAND USE APPLICATION SITES <br /> HOusmG <br /> ®SEPTIC PUMPER TRUCK/ 6 <br /> YARD/CHEMICAL TOILETS <br /> WASTEWATER TREATMENT PLANT CUPA <br /> HOUSING ABATEMENT T <br /> ❑MOTEUHOTEL <br /> E]CHICKEN RANCH I DOG KENNEL QUPA.Y Wr` VAI <br /> 8 <br /> MEDICAL WASTE FACEITY <br /> TATTOO/BODY PIERCING SOU.WASTE <br /> WASTE TIRE S <br /> ®COMPIAINT <br /> OTHER(PLEASE SPECIFY): ❑ACCOUNTING <br /> 10 <br /> BOXED AREA-EHD USE ONLY— <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 <br />