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:ry <br />CEIVED <br />Y SAN. JDAQ Environmental Health Department <br />� .u. COUNTY--- -JUN 12 2018 PUBLIC RECORDS RELEASE APPLICATION <br />tNVIROItiMENTA11 <br />• PERMIUSERV IT BY EMAIL <br />EHD LOG NUMBER. (-0(0951 <br />APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br />ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton. California, 95215 <br />• <br />• <br />PHONE (1): 209-467-1006 PHONE (2): 209-623-7200 FAX OR E-MAIL: Rnatal@advgeoenv.com <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 />SIGNATURE OF APPLICANT DATE <br />1. List up to ten addresses in the space below. 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(dsicehd.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. ;2-O <br />Future file reviews by the same applicant may require a $152 deposit prior to review. <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 />HEALTH DEPARTMENT <br />FILES(Specific <br />addresses <br />FILE ADDRESS <br />only, address ranges will not <br />be accepted) <br />EHD USE ONLY <br />Q Underground Tank (UST) <br />Street # <br />Street Name <br />City <br />1 <br />1931 <br />E Oak St <br />Stockton <br />❑ CONSUMER <br />Cleanup Site (LOP) <br />Q Other Cleanup Site (Non -LOP) <br />0 Hazardous Waste <br />NK�Hvtu�t <br />❑ DAIRY <br />❑X Tiered Permitted Facility <br />2 <br />1722 <br />E Flora St <br />Stockton <br />(4) <br />Q Aboveground Tank <br />Q UST (Monitoring / Removal) <br />3 <br />1903 <br />E Fremont St <br />Stockton <br />11�� ❑PWS <br />Q Hazardous Materials <br />�(��, <br />Q Spill / Release Response <br />ZL� l <br />ATER QUALITY <br />Solid Waste Facility I Vehicle <br />4 <br />1960 <br />E Fremont St <br />Stockton <br />F] Food Facility <br />5 <br />1908 <br />E Fremont St <br />Stockton <br />f'' <br />I-tM 14H1t <br />ITE MITIGATION <br />Pool / Spa <br />Dairy <br />❑X Land Use Application Sites <br />1/�� 11�� <br />❑ HOUSING <br />Pumper Truck/ <br />6 <br />2001 <br />E Fremont St <br />Stockton <br />Yard / Chemical Toilets <br />Q Wastewater Treatment Plant <br />11l"1MVV �S <br />(�Ugpp�l `�� UPA <br />F] Housing Abatement <br />7 <br />2010 <br />Y1 <br />E Fremont Y'1'1 lol It St <br />Stockton <br />AST/HM/HW <br />❑ Motel/Hotel <br />11-1 <br />a <br />2040 <br />E Fremont St <br />Stockton <br />(` <br />CUPA <br />UST <br />❑ Chicken Ranch / Dog KennelN�ltujS <br />F-1medicalWaste Facility <br />R Tattoo/Body Piercing <br />❑ SOLID WASTE <br />F] Waste Tire <br />9 <br />Q Complaint <br />❑ AccouNTING <br />Other (Please Specify): <br />10 <br />***BOXED AREA - EHD USE ONLY*** <br />4-2-1 �3 - � rhA i r�,z rbc of �'. � �V a -i- ae�lk c k,, Fa— <br />❑ Records provided by Staff -PPR Complete. Staff Name: EHD 48-06 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />