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From:Advanced,GeeEnvilolFax:(707)570-1461 � To:20946401 38c@r rcfax.con Fax: (249)454-0138 Page 2 of 2 02!0812019 10:43 AM <br /> DATE RECE EHD LOG NUMBER <br /> CEIVED �� SAN .10AQUIN COUNTY <br /> FEB2~ ENVIRONMENTAL HEALTH DEPARTMENT <br /> � o 8 ZU p 1: (8 East Hazeltonx:Avenue,2Stoc464-013, CA 95205-6232 <br /> ele hone: 20J 468-3420 Fax: 209 464-©138 Web: www,sjgov.orglehd <br /> EWRONWNTAI HEA TH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: '/I&BILGES BUSINESSIAGENCY: Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITY1STATEIZIP:Stockton, CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): FAX OR E-MAIL: dbecker@abvgeoenv.co <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 EXPEDIT .E EST-$139 FEE(CASH OR CHECK ONLY)- REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 02/08/2018 <br /> 1. List up to ten addresses in the space below. Select the 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 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 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. <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 1940 to present <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS EHD USE ONLY <br /> FILES <br /> UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LDP) Shn 14 1,.l"iW,W I ❑CONSUMER <br /> X OTHER CLEANUP SITE(NoN-LoP) <br /> 1 3632 Duck Creek Drive 11 Stockton <br /> X OTKFR CLEANUP SITE(NoN-Lopk) 6er G <br /> Z H AZARDOU5 WASTE �T+tpj'r1 y,H llf^1i,t✓ QDAIRY <br /> TIERED PERMITTED FACILITY uCi re P. <br /> lx ASov EGROUND TANK <br /> L]PWS <br /> ix UST (MONITORING/REMOVAL) <br /> 3 <br /> IX7 HAZARDOUS MATERIALS <br /> a SPILL/RELEASE RESPONSE - ATER QUALITY <br /> ❑7f S OLID WASTE FACILITY/VEHICLE 4 <br /> ❑FOOD FACILITY <br /> SITE MITIGATION <br /> ❑POOLISPA <br /> ,{ F <br /> [ DAIRY 5 �� <br /> LAND USE APPLICATION SITES ❑Houma <br /> SEPTIC PUMPER TRUCK/ <br /> fi <br /> YARD/CHEMICAL TOILETS <br /> ©WASTEWATERTREATMENTPLANT flflCUPA <br /> rl�� <br /> E]HOUSING AEATEM%T 7 <br /> I]MoTEL1H OTEL 1 / <br /> CUPA-UST <br /> CHICKEN RANCH!DOG KENNEL <br /> MEDICAL WASTE FACILITY 6 <br /> TATTOO/BODY PIERCING SoLlo WASTE <br /> IX WASTE TIRE 5 <br /> IJ COMPLAINT <br /> 07}1ER(P LEASE SPEOIFA: Q Accou NTING <br /> 10 <br /> -BOXED AREA-EHE?USE ONLY"" <br /> n4G& k rip. <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> Received Time—Feb, 8J. -2018 1D ; 37AM—No. 3028 <br />