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To. Pzge 2 of 2 2015-10-12 20:19:16(GMT) 141bb2Ubi3bd I-rom: carneLOCKe <br /> C t�� <br /> `� SAN aJOAQUIN COUNTY EHD LOG NUMBER <br /> OCT L 2015 ENVIRONMENTAL HEALTH DEPARTMENT qfto <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> V ERONENTAIL RNI SERVICES <br /> L7H <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Carrie Locke BUSINESS/AGENCY: AEI Consultants <br /> ADDRESS: 1819 Jackson Street,Apt.4 CITY/STATEIZIP: San Francisco, CA 94109 <br /> PHONE(1): 415-505-8090 PHONE (2): FACSIMILE: 415-520-5858 <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,$13Q.F E,:f@14SH OR CHECK ONLY)-REQUEST PROCESSED IN 38USINESS DAYS <br /> SIGNATURE OF APPLICANT C— SS`-`—k'I ___ DATE October 12,2015 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# 11 Street Name City ❑Unit 1 <br /> 1, 602 North Wilson Way Stockton <br /> 2. 604 _North Wilson Way Stockton '" cy p Fl�lCj l� t 2 <br /> 3. 616 North Wilson Way Stockton ulvM <br /> 0 4. 624 North Wison Way Stockton 3 `pr <br /> 678 North VWlson Way _ _ Stockton �/' Iq>.. 14wr I17'C-0 ViSZ kkS-t-LO <br /> y 6. 700 North Wilson Way ►VFG Stockton _ {` W t5 1`lV'CD (;1 04 CO Y�jnit 4 <br /> 7. 702 1 North Wilson Way Stockton AiZ —[.0, Cv 0 (. <br /> 8• 712 <br /> North Wilson Way Stockton �1F1- )yyvnit 5 <br /> 9. 714 North Wison Way Stockton I- <br /> 10. 724 North Wilson Way Stockton W ❑Unit 6 <br /> Specific Date Range of Information Requested: From Earliest to Latest <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY X❑SOLID WASTE FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑X WASTE TIRE <br /> ❑UNDERGROUND TANK(MONITOP,INGIREMOVAL) [:1 FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEMAZARDOUS MATERIALS ❑MOTEUHOTEL ®PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(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.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$125 deposit prior to review. "'BOXED AREA - EHD USE ONLY"' <br /> t C,0 1 C l� (c7 17631CO C)o 70 &A CAoo 0%3 tat 678 viA <br /> tRecordsp <br /> ip po 1 w de r >$ w$ 707 tNdt,o.l r.n, CA• r y�el; W 4tb <br /> I6 L_ N110 v1c. CO, J,14 w fvar G16 N�� z t.ftl on tn>t, <br /> }vided by Staff-PPR Complete. Staff Name: <br /> EHD 4806 <br /> Sltt/15 <br /> Received Time Oct, 12. 2015 1 : 19PM No. 9762 <br />