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! �rrl�rcvli IY.VJ I1 KA) r.vvlrvVi <br /> � NIVED REC IVSD F=HD LOG NlJM6ER <br /> ■ SAN JOAQUIN COUNTY <br /> 611. 7 201 -7,1 <br /> ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-01138 Web:www.sjgov.org/ehd <br /> PEI`IAITrARtACE3 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT- Rene Toth BUSINESS/AGENCY:Advanced GeoEnvironmental, Inc- <br /> ADDRESS; 837 Shaw Road CITYISTATEIZIP-.Stockton, California 95216 <br /> PHONE(1): 209-467-1006 PHONE(2): FAX OR E-MAIL: 209-467-1118 <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 EXPEUTREQ EST- 13 F f=(CAH R € ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 07117/2017 <br /> 1. List un to ten addresses In the c o I t h typ s) flibb from the list below by checking the appropriate <br /> box(sa). At feast one filo typo MUST be selected. Fax 1212001464-0136 or mall to the address Indlcated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For asalstance 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 tan (10) <br /> days after receipt of appllcatlon. The files will be hold 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- —7 , <br /> Future file revlewa by the same applicant may requlro a$439 deposit prior to review. <br /> WELL.AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW, MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAY$) <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 /> FXI 1.INor R0Rrrj ND TANK(UST) Street# Street Name city <br /> CLEANUP$17E 4025 Coronado Avenue Stockton <br /> ){f_O�P �[,aNmuu�w <br /> �X OTHER CLEANUP P) (NON-LOP) <br /> p1 <br /> 0 HAZARDOus WASTE M <br /> ❑ouNr <br /> ®TIERED PERNI7TED FACILITY z 4033 Coronado Avenue Stockton <br /> ®AROUEOROUND TANK <br /> RX UST (MORITOFUNG I RENOV ❑Pws <br /> X HAZARDOUB MATERIALS ' 3807 Coronado Avenue Stockton <br /> p SPILL/RELLAUL REUPONBL ''` 'll /� I A.•i 1 n� TV A ll <br /> SOLID WASTE FACILITY/VEHICLE d WATER gUALITY <br /> � 4119 Coronado Auntie Stockton l <br /> FOOD FACILITY ulco <br /> POOL/SPA M1511E MITIOVION <br /> ❑DARY e <br /> QLA.NP LIGE APPLICATION SITED _ <br /> SEPTIC PUMPER TRUCK! I]HOUSING <br /> 'x <br /> YARD/CHrYICAL TOILETS 6 ' Vn <br /> y <br /> 171 WASTEWATER TRE,ATH ENT PLANT 1 v 1 <br /> Eg"CUPA <br /> HOUSING ABATEMENT 7 <br /> p MIOTELIHnan, <br /> CHCKEN RANCH I Pec KENNEL WICUPA-U6T <br /> MED[CAL WASTE FACILITY B <br /> Q TATT40/17100Y PIERCING <br /> �C WAST£TIRE Souo WAHTE <br /> C©MPLANT <br /> ©OI'RrFt(PLEASE SPECIFY): <br /> ❑ACCOUNiRNO <br /> 10 <br /> 1-13OXED Af/REryA-EHa USL PW Y^- <br /> �. CLL P 7 4 >' .'T' �1 t � �bo✓Z f. <br /> c)DOa'-I <br /> E3 Records provided by Staff•PPR complete. statmome: <br /> Received Time'Jul, 17. `2017' 1 : 37EVv N©, 1902 , <br />