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08/16/2017 12:29 <br /> o E I ""�"""`"f�'''"11'� (FAX) P.0021002002P.0021002 <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> AUG 16 201V i a� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1866 East Hazelton Avenue, Stockton, CA 95205-6232 ?6q <br /> I1�TALL.�€Telephone: (209)468-3420 Fax: (208)464-0138 Web:www,sjgov,org/ehd IG <br /> Pow/sumPUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnvironmental, Inc, <br /> ADDRESS: 837 Shaw Road CITYISTATE/ZIP: Stockton, CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2):209-623-7200 FAX OR E-MAIL: rnatal adv eoenv,com <br /> Please allow 10 buslness days From date of application submittal for the records to be avallable, <br /> Staff wlll contact you to arrange an appolntment date and tlmo to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$138 F E(CASH O HECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 08/16/2017 <br /> 4. is up_tg ten addresses in the space below. Select t e ty e(a Iles from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected, asx to 209} 4.0138 or mall to the address Indicated above Address <br /> rangee 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 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. Pf <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 6:00 AM•5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map--Description: <br /> Specific Date Range of Information Requested: From to <br /> FHEALTH <br /> NVIRONMENTAL <br /> DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> SDFAIGAOUND TANK(UST) 8treot 0 Street Name city <br /> CLEANUP SITE(LOP) CO'NBUAIER <br /> In OTHER CLEANUP SITE(NON-LOP) 1011 North Broadway Ave Stockton �� � �. fG <br /> C]HAZARDOUS WASTE <br /> ❑DAiRv <br /> TIERED PERMITTED FACILITY Z 916 North Broadway Ave Stockton <br /> AuovewOUND TANK � y� '1M) �T�I(� nA 'ro <br /> ®UST (MONITORING I RiiMDYAL) 1 '.! / v 13 Pws <br /> HAZARDOUS MATERIALa 3 <br /> 0 SPILUURELEASE RESPONSE <br /> "SOLID WASTE FACILITY J VEHICLE d WATER QUALITY <br /> FOOD FACILITY <br /> POOL!SFA SITE MMOATIAN <br /> 0 DAIRY 6 <br /> ❑LAND US@ APPLICAT€DN S1TES <br /> SEPTIC PUMPER TIWCK I ❑HouSlaa <br /> 13 <br /> YARD J CHEMICAL TOILETS <br /> f7 wASTEWATeRTRPATMENT PLANT <br /> II HOUSING ABATPMENT 7 CUPA <br /> ❑MOTELIHOT@L. <br /> rj CHICKEN RANCH I COQ K@NNEL CUPA-llSY <br /> MF DICAL WASTE FACILITY <br /> ❑TATTOOIBODY PIERCING <br /> ©WASTP TiRP ❑60LID WASTE <br /> 4 <br /> COMPLAINT <br /> OTHCRjPLPJAS@ SP@CIPY}: <br /> []AccouHnHa <br /> 111 <br /> •BOXED ARJ6•FHP-UAE ONU1^., <br /> CQ <br /> Re ,.Y� me��. �16..�t�_F1 11,: 59 � I 12109 c.o <br />