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0811612017 12:29 (FAX) P.0021002 <br /> i3 ,LC 1 E EHD LOG NUMBER <br /> SAN .IOAQUIN COUNTY <br /> 1 r'. ;� ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG 1868 East Hazelton Avenue,Stockton, CA 95205-6232 q <br /> 416��,AL�Telephone: (209) 468-3420 Fax: (209)464--0'138 Web:www.rjgov.org/ehd <br /> PEMMITMEWWS PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT. Rebecca Natal 13USINESSIAGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP,_Stocltton, CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2):209-1323-7204 FAX OR E-MAIL: rnataI@adygeoenv.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 EXPEDITE RFQUFST-$139 F E(CASH D HECKONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 08/16/2017 <br /> 1. 1_ist up o ten addresses in the apace below. Select t e tyr e(e Iles from the list below by checking the appropriate <br /> box(es). At least one file type MUST be solected. fax to (209) 4-0338 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 Identifying the nature and content of EHD records, please contact EHE]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 or 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$339 deposit prior to review. 0 IL- <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM•5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: © 'List ® Map--Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> ❑x UNDFAGWOUND TANK(UST) Street 0 Street Name City <br /> CLEANUP 51TP(LDP) E]CONSUMER <br /> Q OTHHRCLEANUPSITE(NON-LCP} ' 1011 North Broadway Ave Stockton 1�f yg�l � & <br /> ❑HAZARDOUS WASTE p D0,IRY <br /> ❑TIERED PERMITTED FACILITY 2 916 North Broadway Ave Stockton <br /> ADOVEGROUND TANK e 1 11✓TI c � Y P 1 kJ <br /> I^I UST (MONITORING/RrimaVAL) ❑PWS <br /> ❑HAZARDOUS MATENALS 3 <br /> ©$PILURELEASE R98PONSE <br /> MIWATER QUALITY <br /> ❑SOLID WASTE FACILITY J VEHICLE E <br /> ❑FOOD FACILITY <br /> ❑POOL/SPA Ef,%IN MITIOATION <br /> ❑DAIRY a Pgo <br /> ❑LAND USP APPLICATION SITES <br /> ❑SPPTIC PUMPER TRUCK 1 ❑Hau>Iza <br /> 0 <br /> YARD I CHEMICAL TOILET8 <br /> r <br /> ❑WASTEWATUR TREATMENT PLANT [9 OUPA <br /> ❑HOUSING ABATEMENT 7 <br /> ❑MOTWHOTPL <br /> ❑CHICKEN RANCH/DOG KPNNPL COPA-LIST <br /> ❑MPDICAL WASTP FACTLITY 0 <br /> ❑TATTOOIBODY PIPRCING - <br /> 60L1A WASTE <br /> ❑WASTE TIRE <br /> v <br /> ❑COMPLAINT <br /> OTHPR(PLEASP$PBCIPY): ACCOUNTING <br /> 10 <br /> // L •^b4X6L1 AREA•EHD/Lf$E ONLY"" <br /> V 6 - 6 A <br /> Yo Gp <br /> Revd -lA /16 - 011 759 21090 �o <br /> !e r.e__.uY Err. v,Gvv�uyr.2 vII+I.�o�d- acertrvamv: <br />