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:11111i 0210612018 13:27 (FAX) P.0011001 <br /> e1 ■ DA" CEIVED <br /> ■ EHD LOG NUMBER <br /> i■ n SAN JOAQUIN COUNTY <br /> ■ �LENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB 0 b M9 IL-0 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (208)466-3420 Fax-, (209)464-0138 Web:www-sjgov.org/ehd 071( 3L4 <br /> E�M�ALHEA1-T�H PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca hiatal BUSINESSJAGENCY:AdvanCed GB©Environmental, Inc. <br /> ADDRESS: 837 Shaw Road CITYI9TATEIZIP:Stockton CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2):201;-623-7200 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 SOX TO EXPED REQUEST-$131)FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 QUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 02/06/2018 <br /> 1. List up to tan addresses In he space bele . select the type(s)of flies from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 209 464 0120 or mail to thg addrese;Inoicgpd 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 recolpt of application. The files will be held for a maximum of five buslness days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any file not returned In the some condition as released will be reorganized by EHD staff at the expanse of the applicant. l <br /> Future file reviewer by the came 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 /> Electronla Information: 0 List❑ Map—Description: <br /> Specific Date Range of Information Requested: From 2015 _ to 2016 <br /> ENVIRONM11=NTAL <br /> HEALTH DEPARTMENT FILE ADDRESS EHD USE ONLY <br /> FILES <br /> ®UNDERDROUND TANK(USS $1r66t Street Name City <br /> XCLEANUP SITE{LOP} ? € M,li' C aUYeR <br /> M OTHER CLEANUP SITE(Nom-L,� <br /> 152 Frank West Circle Stockton <br /> ®HAZARDOUS WASTE i []DAIRY <br /> TIERED PERMTTED FACILITY 1 <br /> ABOVEOROUNC TANK PWS <br /> a UST (MONITORING I REUOVAL) <br /> IA HAZARDOUS MATERIALS <br /> CE SPILIRELEA&E REAPONSE MATER QUALITY <br /> SOLID WASTE FACILITY I VEHICLE A <br /> ❑FOOD FACILITY <br /> SITE MITILiATION <br /> POOL I SPA <br /> DAIRY f <br /> LAND USE APPLICATION SITEB <br /> SEPTIC PuLiPER TRUCK I e <br /> YARD I CHEMICAL TOILETS <br /> ❑WASTEWATPA TREATMENT PLANT CUPA <br /> HCU61N4 ABATEMENT ]El e y�L.,v, <br /> l� t.� <br /> MorEUHOTEL <br /> CHICKEN RANCH 1 Don KENNEL CUPA-UST <br /> MEDICAL WASTE FACILITY <br /> TATTOO}BCCY PIERCING <br /> Q WAME TIRE 9 <br /> ®E;.ORlPIA1N"r <br /> OTHER(PLUSE SPECIFY); Aycou++TiNa <br /> f0 <br /> •..BOXED AREA-E NW U E IO'N1LY" <br /> oe <br /> 0 Records provided by Staff-PPR Complete. Sren Nape: <br /> Received T me—Feb. 6. 2018-12 , 52W-No. 3012 <br />