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9M "N WV M6 'Ot laj anvil PaAia39a <br /> "'F Eu <br /> CENED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT r <br /> FEB 10 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 F <br /> Telephone: (209)468-3420 Fax:(209) 464-0138 Web.www.sigov.org/ehd r,,aaaAAA <br /> ENVIRONMENTAL HEALTH <br /> / PERMSERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Diane Becker BUSINESSIAGENCY:Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATEIZIP: Stockton <br /> PHONE(1): 800-511-9300 PHONE(2): 714-529-0200 FACSIMILE: 714-529-0203 <br /> TENTATIVE*APPOINTMENT DA Time: <br /> (Please allow 10 business day fr m date/f !cation submittal-*7entadve only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REOU - 125 FE (C 1 OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 2/10/15 <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city Unit 1 �' f <br /> of 1, 800 E Kettleman Lane Lodi <br /> 2. EI/Unit 2 ) <br /> 3. <br /> 4• .0 unit 3 <br /> 5. <br /> 6. 'LJ Unit4 <br /> 7. P+ul lel til(lE5 u^d �Ct <br /> 8. <br /> ❑units <br /> 9. <br /> 10. 211G, / <br /> _0U nit 6 <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 FACIUfYIVEHICLE <br /> ❑x OTHER CLEANUP SITE(NDN-LOP) ❑FOOD FACILITY Q WASTE TIRE <br /> X1 UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL Q DAIRY <br /> x❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> X❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKNARD/CHEMICAL TOILETS <br /> ❑TATTDOIBODY PIERCING ❑POOLISPA 0 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(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 <br /> may require a$125 deposit prior to review. <br /> GO L-e L%'31 ,L`(IQ (sr Q9 HVI CHn USE ONLY <br /> EHD 48-OB 8/1111 <br /> WV ZZ:6910VOL/ZO ilo i a6ed 8£i049480Z1+ :xaj u03'xe)3aro78£101+9660Z:01 ion-OLS(LOL):xejimlAu3oa0 PeouenPV: s <br />