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10l1RC <br />ZC0 <br />� (FAX) P.0011001 <br />i <br />rDATE R EHD LOG NUMBER <br />�� OCT 20�� SAN JOAQUIN COUNTY <br />�n ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />ENVIRONMENTAL HEALTFklephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov,org/ehd <br />PERMUISERVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Erin ROttacker BUSINESS/AGENCY;Advanced GeoEnvironmental <br />ADDRESS: 837 Shaw Rd. CITY/STATE/ZIP; Stockton, CA 95215 <br />PHONE (1); 209-467-1006 PHONE (2): FAX OR E-MAIL; erottacker@advgeoenv.com <br />Please allow 10 business days from date of application submittal for the records to be available. <br />Staff will con�eFt you to arrange an appointment date and time to review the requested records. <br />❑ CHECK BOX TO EX E ITE RE EST $130 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIQNATURE,,OF APPLICAN lA..- DATE 1b ( <br />1. List up to ten addreseea In the apace below. Select the type(s) of files from the list below by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax to (209) 464 -(?138 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 flies 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 guff at the expense of the applicant, <br />Future Me reviews by the same applicant may require a $130 deposit prior to review. <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br />Electronic Information: ❑ List ❑ Map -- Description: <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILES <br />FILE ADDRESS <br />EHD USE ONLY <br />71 UNDERORQVND TANK (UST) <br />$treat # <br />Streot Name <br />city <br />CLEANUP SITE (LOP) <br />® OTHER CLEANUP STE (JON -LOP) <br />j <br />623 <br />South Harrison Street <br />Stockton <br />L] CONSUMER <br />® HAZARDOUS WASTE <br />® TIERED PERMITTED FACILITY <br />® ADOVEQROUND TANK <br />/ <br />641 <br />South Harrison Street <br />Stockton <br />O DAIRY <br />❑ PWS <br />VST (MQNITQRINQ / REMOVAL) <br />®HAZARDQDB MATERIA <br />REUPONUESOLID WASTE FACILITY / VEHICLE <br />540 <br />West Scotts Avenue <br />Stockton <br />i�SPILURELEASE <br />;WATFR <br />4 <br />QUALITY <br />FOOD FACILITY <br />tg SITE MITIGATION <br />POOL / SPA <br />DAIRY <br />® LAND USE APPLICATION SITEa <br />E <br />1 / I <br />GG7 i —2 S_.-� I V V y <br />SEPTIC PUMP -PR TRUCK / <br />YARD I CHEMICAL TOILETS <br />WASTEWATER TREATMENT PLANT <br />CUPA <br />HOUSING AEATEMENT <br />7 <br />M OTBL/HOTGL <br />8 <br />CU PA 4944 AT <br />CHICKEN RANCH / DOG KENNEL <br />I] MEDICAL WASTE FACILITY <br />TATTOO/BODY PIERCING <br />WASTE TIRE <br />p <br />o SOLID wAer <br />® COMPLAINT <br />10 <br />[] ACCOUNTING <br />OTHER(PLEASE SPECIFY), <br />Received Time_0ct. 11,_2016_ 1:51PM—No, 0137 <br />0 Records provided by Staff -PPR Complete. staff Name: <br />C t' <br />