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Y 01/2212018 12:50 (FAX) P.0011001 <br /> ■; <br /> ■ SATE RE <br /> GEIVE® Owd SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> 0 0■ '01 ENVIRONMENTAL HEALTH DEPARTMENT <br /> ■; JAN 2 2 20 <br /> 1: (2 East Hazelton Avenue, Stockton, CA b:www,sjgov.org/ehd <br /> �/] ��/ <br /> ENVIRONMENTAL HEALTH <br /> (209)460-3420 Fax: (209)464-01 38 Web:wwwsigov.org/ehd (`�,//) (vn <br /> PERM PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rene Toth BUSINESSIAGENCY:Advanced GeoEnviron_mental, Inc_ <br /> ADDRESS: 837 Shaw Road CITY/STATEfZIP: Stockton, Californla <br /> PHONE (1): 209-467-1006 PHONE(2): FAX OR E-MAIL: Rtoth(nadvgecenv.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to ange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITEIRE D-5139 FE (CA OR CHECK ONLY).REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 01/22/2018 <br /> t. List up to ten addresses In theme a w. S ct h type ) 1 From the fist below by checking the appropriate <br /> box(es). At least one FlIe type ST be selected. Fax to - it to the addressabove. 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 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 FlIe 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. I/277Q <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 FILE ADDRESS <br /> FILES EHD USE ONLY <br /> X UNDERORDVNDTANK(UST) Street a Street Name city <br /> CLCANUP SITE(LOP) Q p CONSUMER <br /> ®OTHER CLEANUP SITE(NON•LOP) ' 1162 Bessemer Avenue Manteca <br /> ©MANRDOVB WASTE ONRY <br /> ®TIERED PERMIT TED 1-1.Y 1 1164 Bessemer Avenue Manteca' <br /> O ABOYEOROUND TANK <br /> UST (MONITONNO/REMOVAL) PWS <br /> M HATARDODE MATENALS 3 I/L <br /> 0SPILURELEASERESPONSE „^ <br /> pI 11 Its LI ATtl0.QUALITY <br /> rM SDLID WASTE FACILITY/VEHICLE 4 <br /> FOOD FACILITY , <br /> ❑POOL/GPA ITE MITIGATOR <br /> ❑DAIRY <br /> ❑LAND USE APPLICATION SITES 0, ,/ <br /> Q HWSINU <br /> ❑SEPTIC PVMPER TRUCK/ <br /> 6 <br /> YARD I CHEMICAL TOILETS <br /> 71 WASTEwATERTREATMENT PLANT pUP_A <br /> MOVBINO ABATEMENT T <br /> MOTEUMOTEL <br /> ❑CHICKEN RANCH/DOG KENNEL COPA•UST <br /> ❑MEDICAL WASTE FACILITY a <br /> ❑TATTOOMODY PIERCING SOLID WASTE <br /> WASTE TIRE <br /> 9 <br /> ®CgNPIAINT <br /> ❑OTHER(PLEASE SPECIFY): ACCOUNTNO <br /> t0 <br /> •••BOXED AREA-EMD USE ONLY— <br /> ra,C, A Lv A '., o^ za o' :i4,h <br /> I <br /> Received TimedJan. 22112018c12 : 15PoflINo 2924 <br /> Fwn AAAA <br />