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1012712016 09:54 (FAX) P.0011001 <br /> I•■ <br /> RECEIVEDrQ1 <br /> '`S J - a� EHD LOG NUMBER <br /> ■ SAN JOAQUIN COUNTY <br /> ■� ENVIRONMENTAL HEALTH DEPARTMENT <br /> OCT 20i 1868 East Hazelton Avenue, Stockton, CA 95205-6232 411C <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> —REQAAr'rak7RI-h� PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: g9beCCa Natal BUSINESS/AGENCY:Advanced GeoEnvironmental Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton, CA 9521� <br /> PHONE(1): 209-467-1006 PHONE(2): 209-323-7200 FAX OR E-MAIL: lnatal(ct�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 EXP�DI E 5EQUEST-$138 F ASH OR CH ONLY)-REQUEST PROCESSED IN 3 BUSINESS AYS <br /> SIGNATURE OF APPLICANT DATE O 2� <br /> 1. 1-16t up to ten addresses in the space below. Seldet ihe type(s)of files from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address lodlceted 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 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 businesa days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any rile 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. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8.00 AM•5:00PM(EXCLUDING HOLIDAYS) <br /> Electronlc Information: ❑ List❑ Map—Description: <br /> Speclfic Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> UNDERGROUND TANK(UST) Street 4 Street Name city <br /> �{ CLEANUP SITE(LOP) E]CONSUMER <br /> OTHPR CLEANUP SITE(NON•LOP) 303 S Cherokee Ln Lodi <br /> Y-'HAZARDOUS WA&TE D,VRv <br /> TIERED PERIA LD FACILITY 420 S Cherokee Ln Lodi <br /> ABOVEGROUND TANK <br /> UST (MONITORING/REMOVAL) PWS <br /> HAZARDOUS MATERIALS ° 812 S Cherokee Ln Lodi1�� <br /> SPILLIIREL@ASE RESPONSE <br /> SOLID WASGj WATER QUALITYTE FACILITY I VEHICLE 401 SCherokee Ln Lodi i� If �O t <br /> F000 FACILITY <br /> ❑POOL I SPA SmI MnIOATION �'! j�fll <br /> ❑DAIRY <br /> LAND UBE APPLICATION SITES <br /> SEPTIC Pumm;TRUCK I 0 NOU6ING <br /> YARD/CHEMICAL TOILETS til CL <br /> A <br /> M WASTEWATER TREATMENT PLANT L <br /> Houswo ABATEMENT 7 Q'CUPA <br /> F7 MOTEL/HOTEL <br /> CHICKEN RANCH/Doo KENNEL <br /> CIIPA-UST <br /> MEDICAL WASTE FACILITY B <br /> TAT WBODY PIERCING <br /> WASTE TIRE []S"ID WASTII <br /> 9 <br /> XCOMPIAINT - <br /> 0 OTHER(PLEASE SPFCIFY); <br /> ACCOUNTING <br /> 10 <br /> XED AREA- <br /> RHD YjM.2bLL):— <br /> M Records provided by Staff-PPR Complete. Sut(Namo: ) �!k(✓ <br /> Received Time Oct, 21. 2016— 9 : 34AM—No, 0230 <br />