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■■ AL� IFjVEJ ,7 -14 1 To: Fax: (200'}464-0138 Page 1 of 1 03i21i2018 2;14 PILI <br /> ::DATE ��110E SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ■o F'!QRu �'� ENVIRONMENTAL HEALTH DEPARTMENT <br /> ■�■ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> EWROWENTAL HEALTH Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: wvvw,sjgov.org/ehd �� �� <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: .hackie Hyman BUSINESS/AGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITYISTATE/ZIP:Stockton, California 95215 <br /> PHONE(1): 800-511-9300 PHONE(2): FAX OR E-MAIL: jhyman@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 EXPEDITE REQUEST-8139 FEE(CASH OR CHECK ONLY)- REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 03/21/2018 <br /> 1. List up to ten addresses in the space below. Selectthe 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 bythe same applicant may require a $139 deposit prior to review. <br /> QUELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 ANE-5:00PM (EXCLUDING HOLIDAYS) <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 USEONLY <br /> UNDERGROUND TANK(UST) Street 1'Y' Sheet Name City <br /> I �-p <br /> CLEANUP SITE(LOP) U K"Ty CONSun1ER <br /> ❑X OTHER CLEANUPSITE(NON-LOP) 1 600 West Fremont Street S C t <br /> H AZARD 0 J WA5TE <br /> DAIRY <br /> F-1 TIERED PERMITTED FACILITY 2 618 West Fremont Street StoC Irdt on <br /> FX�A50VEGROUND TANK <br /> UST (Is7 ONITORING/REMOVALl 1 ElPVLS <br /> HAZARDOUS MATERIALS 3 �` <br /> FX�SPILURELEASE RvsPONSE - <br /> AreR 4uaurY <br /> X❑SOLID WASTE FACILITY 1 VEHICLE * <br /> a <br /> FOOD FACILITY <br /> n POOL i SPA ITE MITIGATION <br /> 1 \ <br /> ❑DAIRY S <br /> LAND UsE APPLICATION SITES ` <br /> SEPTIC PUMPER TRUCK/ ❑HOUSING <br /> 5 <br /> YARD f CHEMICAL TOILETS ri <br /> WASTEWATER TREATMENT PLANT <br /> COPA <br /> I]HOUSING A6ATEMENT 7 �� <br /> M oTELM OTEL _ ~— •I'`,�1{lr✓ <br /> F-1 CHICKEN RANCH/DOG KENNEL CUP°Ar-UST <br /> MEDICAL WASTE FACILITY 8 <br /> TATTOO/ri ODY PIERCING -- <br /> ® - <br /> otlo VJASTe <br /> WASTE TIRE <br /> 9 <br /> FXJCDMPLA9 NT <br /> ©OTHER(PLEASE SPECIFY); ❑AcCOUNTING <br /> 10 <br /> _ <br /> "'BOXED AREA-EHD USE ONLY— <br /> ❑ Records provided by Staff-PPR Complete. start Name: <br /> Received Time—Mar. 21, -2018— 2A RM-fro, 3244 <br />