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SAN J O A Q U( NUN 2 5 2018 Environmental Health Department <br />---COUNT' -- — P10AFUBLIC RECORDS RELEASE APPLICATION <br />WEMMR%J N11T BY EMAIL • . � q0 EHD LOG NUMBER. <br />APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental, Inc <br />ADDRESS: 1337 Shaw Road CITY/STATE/ZIP: 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 or 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 z'252018 <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)sicehd.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 $152 deposit prior to review. <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM•5:OOPM (EXCLUDING HOLIDAYS) <br />Electronic Information: ❑ List ❑ Map – Description: <br />Specific Date Range of Information Requested: From to <br />• <br />• <br />ENVIRONMENTAL <br />FILE ADDRESS <br />-'�V jfm <br />HEALTH DEPARTMENT <br />FILES <br />EHD 48-06 <br />(Specific addresses <br />p <br />only, address ran es will not <br />y 9 <br />be acce ted <br />p ) <br />EHD USE ONL <br />❑X Underground Tank (UST) <br />Street # <br />Street Name <br />City <br />1850 <br />E Loup <br />Am <br />ro <br />❑ CONSUMER <br />Cleanup Site (LOP) <br />Other Cleanup Site <br />X (Non -LOP) <br />MV� IrV , D <br />5 No wisp. <br />FX Hazardous Waste <br />- ry' N <br />1 <br />DAIRY <br />FX Tiered Permitted Facility <br />@2112 <br />E Louise Ave <br />Lathrop <br />o t <br />` "" LUQ"— <br />Q Aboveground Tank <br />3 <br />1700 <br />E Louise Ave <br />Lathropv" <br />❑ PWS <br />mea <br />FX] UST (Monitoring / Removal) <br />Hazardous Materials <br />^t <br />No o lsio <br />[] Spill / Release Response <br />F-1SolidWaste Facility/Vehicle <br />4 <br />2050 <br />E Louise Ave <br />Lathrop <br />�4f", i-oa f�T <br />nit l.1� ATER QUALITY <br />C"Uj <br />❑ Food Facility <br />ITE MITIGATION <br />Pool / Spa <br />❑ Dairy <br />5 <br />Q Land Use Application Sites <br />❑ HOUSING <br />❑ Septic Pumper Truck /s <br />Yard / Chemical Toilets <br />Q Wastewater Treatment Plant <br />Q•'EUPA <br />Housing Abatement <br />7 <br />AST / HM / HW <br />❑ Motel/Hotel <br />CUPA <br />Chicken Ranch / Dog Kennel <br />Medical Waste Facility <br />$ <br />UST <br />Tattoo/Body Piercing <br />❑ SOLID WASTE <br />7 Waste Tire <br />g <br />Q Complaint <br />❑ ACCOUNTING <br />Other (Please Specify): <br />io <br />'BOXED AREA - EHD USE ONLY*** <br />7-7 <br />❑ Records provided by Staff -PPR Complete. Staff Name <br />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 />