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RE) T2 �+RECEI,VE( � `4 E D <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />JUN 0 9 2015 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 />END LOG NUMBER <br />APPLICANT: Yukari Hirayama BUSINESS/AGENCY-.Advanced GeoEnvironmental, Inc. <br />ADDRESS: 837 Shaw road <br />PHONE (1): 209-467-1006 <br />CITY/STATE/ZIP: Stockton / CA / 95215 <br />PHONE (2):818-486-2160 FACSIMILE: 209-467-1118 <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 PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE 09 June 2015 <br />Electronic Information: ❑ List ❑ ap — Descriptian: <br />FILE ADDRESS <br />EHD USE ONLY <br />[I Unit 1 <br />Street 0 <br />Street Name <br />City <br />1404 <br />South Fresno Avenue <br />Stockton <br />Stockton <br />Iw�»�P <br />Q��F1. <br />- t/',-100 Lo -1* -N9• , unit 2 <br />2. <br />1405 <br />South Fresno Avenue <br />South Fresno Avenue <br />3. <br />1524 <br />Stockton <br />LA�'°'�`� <br />`iw► -t o�_ /Unit 3 <br />4. <br />1815 <br />Navy Drive <br />Stockton <br />5. <br />1541 <br />West Charter Way <br />Stockton <br />il SITE MITIGATION <br />6. <br />, 'Unit a <br />7. <br />❑ ILI t 6 <br />81 <br />9. <br />unit s <br />Specific Date Range of information Requested: From All to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />(]■ UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY A SOLID WASTE FACII_ITYIVEHICLE <br />O OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT WASTE TIRE <br />© UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ FOOD FACILITY DAIRY <br />© ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL ❑ WASTEWATER TREATMENT PLANT <br />© HA7ARDOUS WASTEMAZARDOIIS MATERIALS ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEMICALTOILETS <br />❑■ TIERED PERMITTED FACILITY ❑ POOUSPA ❑■ LAND USE APPLICATION SITES <br />❑ TATTOOIBODY PIERCING [E-1 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) 454-0138 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 identifyirtg 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 bs 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 ONLY " <br />�MnP�ihn CV (7o I� `i1-J&A. L MSic_ {tear Ib i S KAVLA 0n plo.AA -T oiey ki (40 <br />►`� V CO- Nti'lel. k l i2 1-rr5o0 0. VravkckO u`h <br />(C7 Ty <br />Co0 Pi -106 6w,d <br />13 Records provided by Staff -PPR Complete. Staff Name: <br />11Al 11 <br />Received Time Jun. 9. 2015 9:27AM No -8920 <br />