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� R '- <br />V'�` D SAN JOAQUIN COUNTY END LOG NUMBER <br />■ ENVIRONMENTAL HEALTH DEPARTMENT <br />JUN Q 9 2.10 15 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 FaX: (209) 464-0138 Web: www.sjgov.org/ehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Yukari Hirayama BUSINESS/AGENCY-.Advanced GeoEnvironmental, Inc, <br />ADDRESS: 837 Shaw road CITY/STATE/ZIP: Stockton / CA / 95215 <br />PHONE (1): 209-467-1006 <br />PHONE (2):818A86-2160 FACSIMILE: -209-467-1 118 <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 />❑ CHECK BOX TO EXPEDITE REQUEST - $130 FEE (CASH OR CHECK ONLY) -REQUEST PROCESSI=D IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANTDATE 09 June 2015 <br />Electronic Information: ❑ List ❑ ap — Description: <br />FILE ADDRESS <br />Strset # Streot Name city <br />1. 1404 South Fresno Avenue Stockton <br />EHD USE ONLY <br />Unit 1 <br />I�"'P v-"," ,I °-V),,c,► <br />l� l nit 2 <br />2. <br />1405 <br />South Fresno Avenue <br />Stockton <br />3. <br />1524 <br />South Fresno Avenue <br />Stockton <br />iw°► ) O"t^ Unit 3 <br />4. <br />1815 <br />Navy Drive <br />Stockton <br />5. <br />1541 <br />West Charter Way <br />Stockton <br />ED SITE MITIGATION <br />6. <br />FTUnit 4 <br />7. <br />�(u) <br />❑ Unit 5 <br />8. <br />9. <br />' <br />"jw5 E] unit 6 <br />10. <br />Specific Date Range of Information Requested: From All to <br />ENVIRONMENTAL HFALTH DEPARTMENT FILES <br />t <br />u� UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY N SOLID WASTE FACILITYNEHICLE <br />Q OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT WA5TETIRE <br />© UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ FOOD FACILITY DAIRY <br />© ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL ❑ WASTEWATER TREATMENT PLANT <br />© HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTEL/HOTEL ❑ PUMPER YRUCKIYARDfCHEMICAL TOILETS <br />TIERED PERMITTED FACILITY ❑ POOUSPA 0 LAND USE APPLICATION SITES <br />❑ TATTOO/BODY PIERCING COMPLAINTIRESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (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 recelpt 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 $125 deposit prior to review. `BOXED AREA - EHD USE ON.I YAAR <br />- i���(�/!�`9�� ° e LP ��65 KAV tin d -�"e� �- C4(e} L4 6- O <br />A" = >r' /J. ��dle l�i�� � :ale ��, i°9a i3 ca., I�,� 1=rr��10 d s � CO rg\'dr <br />its � sS <br />113 Records provided by Staff -PPR Complete. Staff Name: <br />cum as At 5111Yl5 <br />Received Time Jun. 9, 2015 9:27AM No -8920 <br />