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°ae 1012812015 09:02 (FAX) P.0011001 <br /> ■ <br /> I EE _ <br /> loll t+ EG .EIV EHD LQG NUMBER <br /> SAN JOAQUIN COUNTY <br /> OCT 2 8 2015 ENVIRONMENTAL HEALTH DEPARTMENT el <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTAL HEA T lephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Berlliklan DUSINESS/ACENCY•Advanoed GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATEfZIP• Stockton,CA 95215 <br /> PHONE (1): 209-467-1006 PRONE (2): 209-483-3441 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 /> ❑ CHI=CK BOX TO EXPEDITE REQUE CASH OR CHECK ONLY)-REQUEST PROCESSED IN� INESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List Map-Description: <br /> FILE ADDRESS <br /> >� Street 0 Street Name City EHD USE ONLY <br /> 1. 825 Navy Drive Stockton <br /> 2. 1137 South Stockton Street Stockton <br /> nit 1 <br /> 3. 1240 Navy Drive Stockton ��e� [ �'. I➢- 0 4 Z <br /> k��"C�77 <br /> 4. 1145 West Charter Way Stocktonc I,e�a�L,�939 Vilest Charter Vday Stockton pp <br /> L p v IZ(✓d J Nnit3 <br /> 7. J/' 1 [9'U'nit 4 <br /> MITIGATiON <br /> Q <br /> 10. <br /> nit 6 <br /> Specific Data Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DPPARTM2NT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> i OTHER CI_FANUP SRF(NQN.LQP1 n 1-Iouq,4o ABATEMENT i�WERTE TiRF <br /> 7/'UNDERGROUND TANK(MON[TORINWREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ©�/SOVEGROUND TANK ❑CHICKEN RANCH!DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> /HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑.PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑P06USPA ❑LAND USE APPLICATION SITES <br /> ❑TATioo/BODY PIERCING E`COIAPLAINNRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> .1, hist 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)4644113$or mall 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 Identlfying the nature and content of EHD records, please contact EHD at the number noted above, <br /> 3. Tho EHD will notify the applicant If any EHD'flles exist. An appointment for rev[ew will Ise confirmed approximately ten(10) <br /> days after receipt of application. The files wi[i 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. "*DOXED AREA-END USE QNLY"'- <br /> �vJ�� W)5+ 1)-40f�r. 11�7 5 {' Q 1IM� U� �� u�T Vi( A�6 <br /> 11 1 Ckw W t..(A. �;jj 1 w+ fli ktl 631'7+ IIVO k),kv, f. It Y7 1600,n $ (0 11k5- <br /> Cl,v✓kPl -T e11) <br /> aan 4+.I � <br /> wo 6,- CJ -1 1 ' <br /> 2-� "CAV w CO l '� (4,01 <br /> ❑ Records provided by Staff-PPR Complete.staff Name: Low 6it(i ((9Q S ,-W0kkJ tAr <br /> ewo 43-0e GLy y kph �,4�, 7Ojs- 5117(s �r�ri �*'T Cu9, �:iy�Jlts L 115 <br /> 47 <br /> Received Time Oct, 28. 2015 8: 54AM No. 9891 (,0��'07y51gI �„►��O��I� ,� 69rItK5(-Lkl�.kef'-� , <br /> to-Mak ClOaj401 ) L, 9az; ut,,,,, Ak- pO�,6.(.qHv"60CP v 4ti73 &.L C0 CoA ';(' Ji,La kr i 1140 Mntn.,Ori. <br />