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RECEIVED <br /> SAN J OA Q U I N MAY t 3 2018 Environmental Health Department <br /> -COUNTY - PUBLIC RECORDS RELEASE APPLICATION <br /> IT/ ,;- MAILit w. EHDLOG NUMBER. �99SC. <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnvironmental,Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton,CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2):209-623-7200 FAX OR E-MAIL: Rnatai@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 /> SIGNATURE OF APPLICANT DATE 'V23!2018 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138, mail to the <br /> address indicated below, or email to info(a)sicehd com Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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 $152 deposit prior to review. I <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 FILE ADDRESS <br /> HEALTH DEPARTMENT <br /> FILES (Specific addresses only, address ranges will not be accepted) EHD USE ONLY <br /> QX Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) +H/ <br /> ❑CONSUMER <br /> x�Other Cleanup Site(Non-LOP) 121 E Lindsay St Stockton <br /> • Q Hazardous Waste lr <br /> ❑K Tiered Permitted Facility 2 <br /> 118 E Fremont St Stockton <br /> (1 l E]DAIRY <br /> ❑X Aboveground Tank <br /> ❑X UST (Monitoring/Removal) ❑PWS <br /> ❑x Hazardous Materials 3 417 N Hunter ekton <br /> ❑x Spill/Release Response <br /> Solid Waste Facility/Vehicle 4 ATER QUALITY 419 N H u n to r kto n <br /> ❑Food Facility e <br /> Pool/Spa ITE MITIGATION <br /> ❑ Dairy U JJJ 5 423 N Hunter * rkton <br /> nX Land Use Application Sites <br /> ❑ <br /> Septic Pumper Truck/ 6 HOUSING 12 0 E Fremont t c kto n <br /> Yard/Chemical Toilets � <br /> i <br /> Wastewater Treatment Plant CUPA <br /> Housing Abatement 7 124 E FremontQ .fckton AST/HM/HW <br /> F-] Motel/Hotel <br /> ❑Chicken Ranch/Dog Kennel "h' �`✓ UPA <br /> ❑Medical Waste Facility 8 400 N EI Dorado St Stockton UST <br /> ❑Tattoo/Body Piercing L�lVIM ❑SOLID WASTE <br /> F]waste Tire 9 404 N EI Dorado ckton <br /> Q Complaint <br /> Other(Please Specify): ❑ACCOUNTING <br /> to 416 N EI Dorad ckton <br /> —BOXED AREA-EHD USE ONLY... <br /> • �'•� --I`� t�!"'w11�Q„ A,!) (,U..l"(- �t'�+'.t,� nt� - .,t '�;"y i�� .^4.\ ,t- <br /> ' �GLR <br /> ❑ Records provided by Staff-PPR Complete. Start Name: - EHD 4e-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />