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DA/REEIVED EHD LOG NUMBER <br /> SAJOAQUIN COUNTY� ENVIRONMENTAL HEALTH DEPARTMENT <br /> / 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> rib : �j t�(A Tel9phone: (209)468-3420 Fax: (209)464-0138 Web: wwW.sjgov.org/ehd 1#0 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Clinton Look BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 2500 Camino Diablo CITY/STATE/ZIP: Walnut Creek,CA 94597 <br /> PHONE(1): 925-746-6016 PHONE(2): FACSIMILE. 925-746-6099 <br /> TENTATIVE"APPOINTMENT DATE: CAUL' Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST/$M5 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT C "" --"— DATE \01 �9tj <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City O Unit 1 <br /> 1• 530 South Main Street Lodi t LVa <br /> 2• 532 South Main Street Lodi ,p u it 2 <br /> 3• 440 South Main Street Lodi <br /> 4. 442 South Main Street Lodi unit3 <br /> 5. 446 South Main Street Lodi. / <br /> 6 440 Seaton Avenue Lodi /OIrk .❑Unit <br /> 7. 442 Seaton Avenue Lodi <br /> 8. 446 Seaton Avenue Lodi ❑UnitS <br /> 9• 32 East Tokay Street Lodi <br /> 10. 440 Eaton Avenue Lodi ,El unit s <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> -UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT -SOLID WASTE FACILIiYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY WASTE TIRE <br /> 1)9 UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL9 DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH RWASTEWATER TREATMENT PANT <br /> TIERED PERMITTED FACILITY ❑MOTELMOTEL ❑PUMPER TRUCKNARD/CHEMICAL TOILETS <br /> LAND USE APPLICATION SITES <br /> -1TATTOOABODY PIERCING ❑POOL/SCOMPLAINT RECORDS [:]OTHER(PLEASE SPECIFY) <br /> �.MEDLCAL WASTE FACILITY F1 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in �j of files from the fist above by checking the appropriate <br /> box(es). At least one file t+ ���'c - J�'0!' "j 1:64-0138 or mail to the address indicated above. Address <br /> ranges will not be accepte r, /R ,y�� addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed C� <br /> 2. The EHD will notify the apl Cti 1 c'ti r �'�`�ointment for review will be confirmed approximately ten(10) <br /> days after receipt of applic � r1 Gt/rZl=� ximum of five business days for review. Appointments <br /> should be scheduled acco s ���Gly ck(( <br /> n� ("e_ immediately available for review. Anew application may be <br /> 3. A file that is actively being <br /> submitted when the file is s r L o/1 /�c' applicant. <br /> 4. Any file not returned in the reorganized by EHD staff at the expense of the app <br /> Future file reviews by the same applicant may require a iia aeposit prior to review. <br /> r EHD us ACr,tL M r/ <br /> O (� 6 L/ <br /> ,� i� 811111 <br /> EHD 48-06 <br />