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D V dy ^/ - EHD LOG NUMBER <br /> CC SA O —IN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAY 01 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONtNTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLI T <br /> CA ISN <br /> APPLICANT: Jessica Gonzalez 11 0n'z J �Lz BUSINESS/AGENCY: AEI Consultants <br /> W q 2.i C v n S`J C n i S , C o M <br /> ADDRESS: 2500 Camino Diablo CITY/STATE/ZIP: Walnut Creek, CA 94597 <br /> PHONE(1): 510-688-0981 PHONE(2): 925-746-6050 FACSIMILE:925-746-6099 <br /> TENTATIVE*APPOINTMENT DATE: Please call 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 <br /> Electronic information: L] List❑ p—Description: / / <br /> 0441111 <br /> FILE ADDRESS USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> 1. 7860 West Lane Stockton I� <br /> 2. 7908 West Lane Stockton PI t /[unit 2 <br /> 3. 700 NOS+{'. We-5f ���e k'vc , �7�� 4Gt0--Q- _{ <br /> 4. �$5O Wts-Y- }^ctr��. vG1� ori VJUnit3 <br /> 5. een <br /> 6' I Unit 4 <br /> 7. <br /> 8' nit 5 <br /> 9. 1 <br /> 10. (J unit s <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY ®SOLID WASTE FACILITYNEHICLE jjV0 <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ❑COMPLAINTIRESPONSE 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 ten 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. ***BOXED AREA-EHD USE ONLY <br /> ❑ Records provided by Staff-PPR Complete.Staff Name: <br /> EHD 48-06 914112 <br />