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U hA1 r.vv Lrvv 1 <br /> RECEIVED <br /> DATE REC IVSD EHD LOG NUMBER <br /> SANTALHEA JOAQUIN COUNTY <br /> JUL. 17 2�1F � ENVIRONMENTAL HEALTH DEPARTMENT `t./V l3 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205.6232 <br /> • fWP11fIRONMlWTAL i,WA.i_Tf•I Telephone: (209)488-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> PEFWl`Tr,,,t=MCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rene Toth BUSINESS/AGENCY:Advanced GeoEnvironmental, Inc <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton, California 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): FAX OR E-MAIL: 209-167-1118 <br /> Please allow 10 business days from dale 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 /> ❑ CHECK BOX TO EXPEDIT FEQ EST- 13 F E(CA. HR E ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 07/17/2017 <br /> 1. List un to ten addressee In the c o I t h typ a) Fl from the list below by checking the appropriate <br /> box(ea). At leant one file type MUST be selected, pax to 42031464-0138 or mail to the addreoe 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 aaalatance 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. Appolntments <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 Ole reviews by the same applicant may require a$139 deposit prior to revlaw. can -7 /1 <br /> 1 <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 <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS END USE ONLY <br /> FILES <br /> • OUNOERORWMOTFNK(IIST) Street $treat Nemo city <br /> CLEANUP SITE(LOP) GG ❑CAN�ONP <br /> ❑X <br /> OTHER CLEANUP UP SUE(NON-LOP) T 402`A Coronado Avenue StocktonjL2 t7/ n <br /> QX HAZARDOUSWASTE 1,'•4rJf ! V C <br /> ❑DAIW <br /> ®TIERED PERMITTED FACILITY t 4033 Coronado Avenue Stockton <br /> ®ASOVEORpUNO TANK <br /> x❑UST (MONITORING I REMOV D PWS <br /> O HAZARDOUS MATERIALS 3 3807 Coronado Avenue Stockton f,�ML�Q/ t,�/CA <br /> a SPHURELEABE REBPONBE t`.�I 1/T1 <br /> ❑SOLDWASTE FACILITY/VEHICLE a 4119 Coronado Avnue Stockton 1_ - WATER QUALITY <br /> ❑FOOD FACILITY Lf W 1 1 <br /> ❑POOL/SPA I1t, 1 <br /> lj DAIRY 0 SITE MITIGATION <br /> O LAND USE APPLICATION SITES <br /> ❑SEPTIC PUMPER TRUCK I ❑FbuBINO <br /> YARD/CNEMIGL TOILETS <br /> ❑WABTENATER TREATMENT PLANT <br /> UPA <br /> ❑ROUBmGABATEYENT T <br /> ❑MOTELMOTEL <br /> CHICKEN RANCH/DOG KENNEL 06-1A•UST <br /> MEOICAL WASTE FACILITY B <br /> q TATTOOMODY PIERCING <br /> ®WAUTE TIRE ouo W_ <br /> ©COYPIAINT B <br /> ❑OTHER(PLEASE SPECIFY): <br /> • '-BOXED AREA EHD LIBe e6 y- <br /> - <br /> O Records provided by StaffFPPR Complete. staffNamc <br /> Received Time=Ju1. 17. '2017- 1 ; 37PNPNo. 1902 <br />