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SAN JOAQU <br />RECEIVED <br />IN Environmental Health Department <br />COUNTY MAY 18 2016 PUBLIC RECORDS RELEASE APPLICATION <br />/'El‘MRONK4F-N1 MAIL <br />PEPVAMSE <br />Cad, Sitk5 EHD LOG NUMBER: <br />APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental, Inc <br />ADDRESS: <br />PHONE (1): <br />CITY/STATE/ZIP: Stockton, CA 95215 <br />PHONE (2): 2 .1) 62:3 720 0 FAX OR E-MAIL: Rnatal@advgeoenv.com <br />837 Shaw Road <br />209-467-1006 <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 5/18'2018 <br />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 infoa.sicehd.com. Applications received after 3:00 pm will be processed the next <br />business day. <br />For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <br />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 />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-5:00PM (EXCLUDING HOLIDAYS) <br />— Electronic Information: List Map — Description: <br />Specific Date Range of Information Requested: From - to 2018 <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILES <br />FILE ADDRESS <br />(Specific addresses only, address ranges will not be accepted) <br />J-Dvb thi?-711t q, <br />EHD USE ONLY <br />E3 Underground Tank (UST) <br />Cleanup Site (LOP) <br />Street # Street Name City <br />1 1300 E Louise Ave Lathrop <br />0 CONSUMER <br />E3 Other Cleanup Site (Non-LOP) <br />El Hazardous Waste <br />)7.21 <br />2 500 E Louise Ave Lathrop <br />kw NATI eau Tp DAIRY <br />Lop co*Pcio <br />iliel 45i riMBig i-1-415), AS1.(L <br />ea Tiered Permitted Facility <br />El Aboveground Tank <br />3 <br />0 PWS <br />I r <br />Ili UST (Monitoring / Removal) <br />El Hazardous Materials <br />El Spill / Release Response <br />4 <br />NI‘ATER QUALITY <br />. Solid Waste Facility / Vehicle <br />. Food Facility <br />5 <br />EeCE MITIGATION . Pool / Spa <br />II Dairy <br />E3 Land Use Application Sites <br />6 <br />0 HOUSING <br />E Septic Pumper Truck / <br />Yard / Chemical Toilets <br />. Wastewater Treatment Plant <br />7 <br />NK(JPA <br />AST / HM /11W El Housing Abatement <br />. Motel/Hotel <br />8 <br />Erc1PA <br />UST <br />III Chicken Ranch / Dog Kennel <br />I. Medical Waste Facility <br />I=1 Tattoo/Body Piercing <br />9 <br />El Soup WASTE <br />II Waste Tire <br />El Complaint <br />II Other (Please Specify): <br />10 <br />0 ACCOUNTING <br />**"BOXED AREA - END USE ONLY*** <br />c;---%A - E 14f, ), ce.1- i f t-A icce ot tit4_1 iAtas.i,eS, of-cok Ki,j,0,2,4cik(,?_._ , <br />(1? 124.9 Ile — CDoptli4- 1 COOD6 3-S-53 (ear)pialrif -flue') areTni frk072-00?2 -1-M ?It. Cl/t <br />tefilD(IF - Nofkud-iorr-i for PR.CGO9•102Wit iVallaltrit.111 No4;o2) ".,keeybritiack Dan .1 mio. f0. <br />D Records provided by Staff-PPR Complete. Staff Name: UPA EHD 48-06 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com