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S A N J O A Q U I N Environmental Health Department <br />- -- C G U N T `r'------ tilAY 18 201e. PUBLIC RECORDS RELEASE APPLICATION <br />of111iZQ(YWlE l� �� <br />• l FNM4tT 'L) �Pi1�IEHD LOG NUMBER. 3 <br />APPLICANT: Diane Becker BUSINESS/AGENCY:-Advanced GeoEnvironmental <br />ADDRESS: 837 Shaw Rd CITY/STATE/ZIP: Stockton, CA 95215 <br />PHONE (1): 800-511-9300 PHONE (2): 714-529 e20o FAX OR E-MAIL: dbecker(a�advgeoenv.com <br />Please allow 10 busine days from date of application submittal for the records to be available. <br />Staff will contact yo ri ar ge an appointment date and time to review the requested records. <br />SIGNATURE OF APPLICANT DATE s -I-,-18 <br />1. List up to ten addresses in the spat belo ress ranges WILL NOT be accepted. Select the type(s) of files from the <br />list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138, mail to the <br />address indicated below, or email to info(a)slcehd.com. Applications received after 3:00 pm will be processed the next <br />business day. <br />2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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 $152 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 1-1-1940 to -18-18 <br />ENVIRONMENTAL <br />FILE ADDRESS <br />HEALTH DEPARTMENT <br />(Specific addresses <br />only, address ranges will not be accepted) <br />EHD USE ONLY <br />FILES <br />Q Underground Tank (UST) <br />Street # <br />Street Name City <br />18297 <br />N Bruell LODI <br />D CONSUMER <br />Cleanup Site (LOP) <br />0 Other Cleanup Site (Nan -LOP) <br />, <br />2 <br />18095 <br />C h e rry l". LODI <br />DAIRY <br />Hazardous Waste <br />Q Tiered Permitted Facility <br />IJ Aboveground Tank <br />� PWS <br />Q UST (Monitoring I Removal) <br />Q Hazardous Materials <br />3 <br />18001 <br />Che rry jqd O D I <br />IJ Spill / Release Response <br />Q Solid Waste Facility / Vehicle <br />4 <br />8105 <br />E ST RT 1 LODI <br />©`WATER QUALITY <br />F Food Facility <br />©`SITE MITIGATION <br />E] Dalry/ Spa <br />5 <br />8103 <br />E ST RT 1 *i( LODI <br />E] Land Use Application Sites <br />HOUSING <br />Septic Pumper Truck 1 <br />6 <br />17801 <br />Cherry iX. LODI <br />Yard / Chemical Toilets <br />107U PA <br />❑ Wastewater Treatment Plant <br />F -]Housing Abatement <br />7 <br />17770 <br />Cherry LODI <br />AST I HM 1 HW <br />❑ Motel/Hotel <br />8 CUPA <br />Chicken Ranch / Dog Kennel <br />8 <br />17530 <br />Cherry FL ODI <br />UST <br />Medical Waste Facility <br />.V; <br />Tattoo/Body Piercing <br />❑ Waste Tire <br />9 <br />17400 <br />N Cherry 14 FL O D I <br />®Souo WASTe <br />Complaint <br />E] Other (Please Specify):' <br />,0 <br />18096 <br />Cherry Rd LODI <br />in <br />{ E]ACCOUNTING <br />`1 <br />• <br />'""BOXED AKEA - Erlu USE ONLY <br />T n��t/,�P:� ,�LCi c� 1. wi• �C.' ::�;�' >K(�y.d_(irti v i <br />❑ Records provided by Staff -PPR Complete. staff Name: EHD 48-06 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />