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MO "N NV §106 '0[ ,q,j anvil PaAiaaaN <br /> F=�,., t,° /CE dE g�a� ! EHD LOG NUMBER <br /> -Ytl�l� ,Fl�l_If.�� �1C4f/ fH�y SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB 10 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web;www.sigov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERUTISERWES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Diane Becker BUSINESSIAGENCY:Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton <br /> PHONE (1): 800-511-9300 PHONE(2); 714-529-0200_ FACSIMILE: 714-529-0203 <br /> TENTATIVE`APPOINTMENT )A : Time: <br /> (Please allow 10 business day fr m date=CHECK <br /> •Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQU - 125 FE -REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> siGNATLIRgnFAPPLICANT DATE 2/10/15 <br /> Electronic Information; E] List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street# Street Name City qgfUnit1 <br /> 1, 800 E Kettleman Lane Lodi (A�l — v <br /> 2. M Unit 2 I <br /> 3. <br /> 4' ,3 Unit 3 <br /> 5. <br /> 6. .LJ Unit 4 <br /> 7. P�vJ1,1 �i4( L� <br /> $. �tJ..d I <br /> ❑units <br /> 9. <br /> 10. 21NiCj —/ <br /> �i Unit6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑X SOLID WASTE FACILITYNEHICLE <br /> X❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑x WASTE TIRE <br /> []UNDERGROUND TANK(MONITORING(REMOvAL) ❑DOG KENNEL Q DAIRY <br /> x❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> %❑TIERED PERMRTE)FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARD/CHEMICALTDILEFS <br /> ❑TATTOO/BODY PIERCING ❑POOL/SPA 0 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY []COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above 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-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. 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 /> 3. A file that is actively being worked on by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file is available. <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$125 deposit prior to review. <br /> `,a GO 6-r LA.5j LII( Car 3 l) ek-%' EHD USE ONLY <br /> EHD 4846 81 IM <br /> WV ZZ:6 gLOZ10 LlZD LJo I, 869d e£10V9460Z1+ :xad uoa'xspi@gg L069460Z:oJ. l91,l-019 iL0Z):xed10nnu30a0 peouenpy: <br /> ■ <br />