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01baT L I V D (FAX) P.00Itoo 1 <br /> ■■■ <br /> 7j� SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ■: JUN 6 2011C���l' 7,"'t ENVIRONMENTAL HEALTH DEPARTMENT f�! <br /> 1868 East Hazelton Avenue, Stockton, CA 95205.6232 b <br /> VIRQNMFAfTALFIgALTH Telephone: (209)468-3420 Fax: (209)464-0138 Web:WWW.slgov-OMlehd <br /> POWIT/5ERMCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton, CA 95215 <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 /> ❑ CHECK BOX TO EXPEDII REQUEST-$139 F SH CK ONLY)-REQUEST PROCESSED IN 3 BUS NES DAYS <br /> SIGNATURE OF APPLICANT ,I/a PvM2 DATE <br /> 1. List un to ten addresses int the space below, Sele t e type(A)of files from the list below by checking t B appropriate <br /> box(es). At least one file type MUST be selected. Fax to 12091464-0138 or mall to the address Indl sled 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 flies 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. <br /> Future file reviews by the same applicant may require a $139 deposit prior to review. (9 y�1r <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) 11> <br /> Electronic Information: ❑ List❑ Map— Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> ❑X UNDERGROUNn TANK(LIST) Street# Street Name City <br /> CLEANUP SITE(LOP) CONNUNIR <br /> O OTHER CLEANUP SITE(NON-LOP) 510 East Magnolia Street Stockton *op^ N1/I /cc) <br /> (]x HAZAPDOUS WASTE T` L.!/ <br /> 0 T¢neD PEIunTTeD FACwTv 2 702 North Aurora Street Stockton [3DMRY <br /> O ASOVEGHOUND TANK //(L,�\ <br /> OUIU <br /> ST (MONITONG/REMMA14 V 0 PWS <br /> p HATAEODUS MATERIALS 1212 North California Street Stockton Ir1�t'�Lpt1�,r/J� 1/1 ,y�t//�� <br /> ❑x SPILURELEASE RESPONSE ftV2P/`�`"��• /C <br /> rXI SOLID WASTE FACILITY/VEHICLE a 1102 South Aurora Street Stockton WATER QUAUW <br /> F1F000 FACILITY I I I P b•/ C W0100 <br /> ll POOL 1 SPA Pj Sin MMGAW)N <br /> ❑DAIRY 6 <br /> n LANO USE APPLICATION SITES <br /> Lj SEPTIC PUMPER TRUCK/ HW EIXD <br /> YARD I CHEMICAL TOILETS 6 <br /> O WASTEWATER TREATMENT PLANT <br /> CUPA <br /> FHOUBINO ABATEMENT 7 <br /> MOTEL(HOTEL <br /> ❑CHICKEN RANCH/DOG KENNEL M16UPA-UST <br /> ❑MEDICAL WAArE FACIUT R <br /> ❑TAT 0180131 PIERCING <br /> O WASTE TwE Sapo WABtt <br /> 9 <br /> O COMPLAINT <br /> OTHER(PLEADE SPECIFY): <br /> ❑A6000NT140 <br /> to <br /> / '—eO`XEDAREA-EHONL <br /> 11USE OY— <br /> (: T 17 77 <br /> - ,'a!` 77 `.'77 377 7 't <br /> Received Ti,meicJuo_, 6. f2017�1 3,:45Prl NoL..l <br />