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• <br />RECEIVED <br />S A N JOAQUIN MAY 2 3 2018 Environmental Health Department <br />,----COUNTY-- - T PUBLIC RECORDS RELEASE APPLICATION <br />T' C C. -. _tic (1 ' i''. �':.. i , �1� 1I I I�7RJ� 7 �. � � "n� V 1 � C <br />PF_IMfT%5 �SAC,1:� MAIL ] �Zzj r <br />EHD LOG NUMBER. <br />APPLICANT: Rebecca Natal <br />ADDRESS: 837 Shaw Road <br />BUSINESS/AGENCY: Advanced GeoEnvironmental, Inc. <br />CITY/STATEIZIP: Stockton, CA 95215 <br />PHONE (1): 209-467-1006 PHONE (2):209-623-7200 FAX OR E-MAIL: Rnatal@advgeoenv.com <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 />SIGNATURE OF APPLICANT DATE 5;23%2018 <br />1. List up to ten addresses in the space below. Address 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. v9 - <br />J �� <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 to <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILES <br />(Specific addresses <br />FILE ADDRESS <br />only, address ranges will not <br />be accepted) <br />( , <br />EHD USE ONLY <br />Q Underground Tank (UST) <br />Street # <br />Street Name <br />City <br />1 <br />121 <br />E Lindsay St <br />Stockton <br />aw❑ <br />CONSUMER <br />Cleanup Site (LOP) <br />X Other Cleanup Site (Non -LOP) <br />Q Hazardous Waste <br />t. <br />❑ DAIRY <br />Q Tiered Permitted Facility <br />2 <br />118 <br />E Fremont St <br />Stockton <br />Hwv CO <br />Q Aboveground Tank <br />PWS <br />UST (Monitoring /Removal) <br />3 <br />417 <br />N Hunter <br />ckton <br />0 Hazardous Materials <br />• <br />Q Spill / Release Response <br />t9"WATER QUALITY <br />° Solid Waste Facility /Vehicle <br />4 <br />419 <br />N Hunter <br />kto n <br />° Food Facility (� <br />• <br />• <br />5 <br />423 <br />N Hunter <br />kton <br />EgITE MITIGATION <br />° Pool / Spa C//1r�,� <br />°Dairy <br />l� Land Use Application Sites <br />1:1 HOUSING <br />° Septic Pumper Truck / <br />s <br />120 <br />E FremontlAt <br />c kto n <br />Yard / Chemical Toilets <br />° Wastewater Treatment Plant <br />° Housing Abatement <br />124 <br />E F re m o n tQ <br />j;ckton <br />CUPA <br />AST/ HM / HW <br />° Motel/Hotel <br />t'"��✓ <br />UPA <br />° Chicken Ranch / Dog Kennel <br />8 <br />400 <br />N EI Dorado St <br />Stockton <br />cIN'; <br />UST <br />° Medical Waste Facility <br />?, <br />nt � <br />Tattoo/Body Piercing <br />❑ SOLID WASTE <br />° Waste Tire <br />9 <br />404 <br />N EI Doradockton <br />• <br />• <br />Q Complaint <br />F <br />416 <br />N EI Dorad <br />1eckton <br />0 <br />❑ ACCOUNTING <br />° Other (Please Specify): <br />***BOXED AREA - EHD USE ONLY*** <br />i I ' Z !: <br />❑ Records provided by Staff -PPR Complete. staff Name: ' ('f- EHD 48-06 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />