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07/19/2011 16:18 4085597601 AEI SAN JOSE PAGE 02/02 <br />0 <br />EHD LOG NUMBER <br />SAN .JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main St. Stockton, CA 95202-3029 <br />ENv1Fi0NtAENTAL'REALTTflephone: (209) 468-3420 Fax: (209) 464-0138 Web: www,sigov.org/ehd <br />PEpm,91SERVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Katie Hindt BUSINESSIAGENCY: AET Con:SultantS <br />ADDRESS: 3880 S. Bascom Ave, #108 CITY/STATE/ZIP: San Jose, CA 95.24 <br />PHONE(1): 831-295-9725 PHONE (2): _ FACSIMILE: 408-559-7601 <br />TENTATIVE* APPOINTMENT DATE: Time, <br />(Please allow 10 bu9lneas days from data of application submittal-'T001ative only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITEE $1 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT uflkhindt@aeiconsultants .comDATE 7-19-11 <br />Electronic Information: ❑ List D Map— Description, <br />FILE ADDRESS EHD USE ONLY <br />Street # Street Name City 0 Unit l <br />1, 1477 tillie Lewis Stockton <br />2. 1433 tillie J ewis Stockton 0Unit 2 <br />3. unknown Stockton ordnance depot Stockton <br />- <br />�Un <br />4. U! "' .� <br />5. <br />:9 �nit 4 <br />6, <br />7. <br />❑ Unit s <br />8. <br />9. <br />p Unit e <br />10. <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 FACILrrYNEHICLE <br />OTHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY ❑ WASTE TIRE <br />E3UNDERGROUND TANK (MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAiRY <br />[S HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br />[TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKNARD/CHEMICAL TOILETS <br />❑ TATTOO/60DY PIERCING ❑ POOL/SPA ❑ L,ANb USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILrTY Q OTHE=R (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RFCORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING IJOLIDAYS) <br />I. List un 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_i2091464-0138 of mail to the address_indicatad above._ Address <br />ranges will not be accepted - for additional assistance with file addresses, contact the FHD. 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 he 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 EHb staff may not be Immediately available for review. A new application may be <br />submittad when the file is available, <br />4. Any file not returned In the same condition as released will be reorgani:ed 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 />EHo <br />