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Adaan ced GeoEnviroiFax(707)570-1461 To:2094640138@rcfsx.con Fax: +12084640158 Page 1 of 7 03!37/20164:05 PM - <br /> A, - _ - EHD LOG NUMBER <br /> r I �g v SAN JOAQUIN COUNTY 1 <br /> r¢ ENVIRONMENTAL HEALTH DEPARTMENT %I33i� <br /> APR 0 1 2016 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telepphone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> NVI <br /> ERONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:—Jennifer Berjikian BUSINESS/AGENCY:Advanced GeoEnvironmental <br /> ADDRESS: 3335 East Miraloma Avenue CITY/STATEOP:Anaheim,CA 62806 <br /> PHONE (1): 800-511-9300 PHONE(2):209-483-3401 FAX ORE-MAIL:jberjikian@advgeoenv.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contactyou to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX T6 EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 03/31/2016 <br /> Electronic Information: ❑ List ❑ Map-Description: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street# Street Name City <br /> 1. 686 East Lockford Lodi qy (1W T <br /> Unit 1 <br /> 2• 900 1/2 East Victor Road Lodi HJT � OL S <br /> 3. 930 East Victor Road Lodi Unit 2 <br /> 5 1 <br /> 1, 4. 1220 East Victor Road Lodi <br /> u Z t - Unit 2H <br /> 5. 687 East Lockford Street Lodi �0 J <br /> Unit 3 <br /> �" 681 East Lockford Street Lodi <br /> ( -�-` �� V0 Cole 211511t 3HM <br /> Y' 925 South Victor Streetf Lodi � 5 [1 Unit 4 <br /> 8• 6050 SIS+ LOC/I<0VA • • (✓pLQ,f ,NQ SITEMITIGATION <br /> 9. 6 NOjb, /VUt lv p <br /> L-1 Unit i <br /> 90. <br /> Specific Date Range oflnfonnation Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES A`� <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MOTELIHOTEL []SOLID WASTE FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑FOOD FACILITY I-> R 1 e S <br /> x❑UNDERGROUND TANK(MONITORINGIREMOVAL)tx ❑WASTE TIRE ❑DAIRY,POOLISPA UL4111 •f-� 4`(`rl� <br /> X❑ABOVEGROUND TANK 0( ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLAIT <br /> Xan,HAZARDOUS WASTE--- ❑MEDICAL WASTE FACILITY ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> x❑HAZARDOUS MATERIALS ❑TATTOOIBODY PIERCING ❑LAND USE APPLICATION SITES <br /> [:]TIERED PERMITTED FACILITY ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> _ WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:0OPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 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 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$130 deposit prior to review. <br /> "*BOXED AREA-EHD USE ONLY*** <br /> (6 ZV' P i1-Wa'AyT) <P9' U' r d e7 O 1 <br /> -I -I '• s 1-. Y� <br /> 60cv a 30 U` �. <br /> s orcivl edy <br /> eceived Time=Mar. 31 — 4:05PN` o. 0645 <br /> . =2016 <br />