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• <br />• <br />• <br />RECEIVEb <br />SA N J OAQ U I N Environmental Health Department <br />-----COUNTY — �� ��, �� ,,` PUBLIC RECORDS RELEASE APPLICATION <br />EW <br />M <br />PF M_ G1,Z3/ EHD LOG NUMBER: <br />APPLICANT: Jackie Hyman BUSINESS/AGENCY: Advanced GeoEnvironmental Inc. <br />ADDRESS: 3335 East Miraloma Avenue, Suite 142 CITY/STATE/ZIP: Anaheim, CA 92806 <br />PHONE (1): 800-511-9300 PHONE (2): FAX OR E-MAIL: jhyman@advgeoenv.com <br />Please allow 10 business days from date of application submittal for the records to be available. <br />Staff will contact t rrange an appointment date and time to review the requested records. <br />SIGNATURE OF APPLICANT DATE 22 May 2018 <br />1. List up to ten addresses in the ace elow. 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. f <br />Future file reviews by the same applicant may require a $152 deposit prior to review. Il <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 />FILE ADDRESS <br />AC -0 +C' txm 713 <br />HEALTH DEPARTMENT <br />FILES <br />(Specific addresses <br />y 9 <br />only, address ranges will not <br />accepted) <br />be acce ted <br />EHD USE ONLY <br />QX Underground Tank (UST) <br />Street # <br />Street Name <br />city <br />Cleanup Site (LOP) <br />' <br />4646 <br />Quantas Lane, Units B9 <br />Stockton <br />❑ CONSUMER <br />nX Other Cleanup Site (Nan -LOP) <br />❑X Hazardous Waste <br />❑ DAIRY <br />❑X Tiered Permitted Facility A <br />2 <br />4646 <br />Quantas Lane, Units B10 <br />Stockton <br />QAboveground Tank <br />3 <br />4646 <br />Quantas Lane <br />Stockton <br />❑ PWS <br />❑X UST (Monitoring / Removal) <br />Q Hazardous Materials <br />Q Spill / Release Response <br />FDZATER QUALITY <br />Solid Waste Facility / Vehicle <br />4 <br />F] Food Facility <br />W1 !-tW <br />R 1B-M-L*kr-_W � <br />SITE MITIGATION <br />❑ Pool / Spa <br />Dairy <br />5 <br />i <br />