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a 1211212014 09:10 (FAX) P.UUIIUUl <br /> t� EHD LOG NUMBER <br /> ■ DAT 'RE E,�'ED' ' k' xm • SAN JOAQUIN COUNTY <br /> ■ ENVIRONMENTAL HEALTH DEPARTMENT �f. <br /> DEC 12 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> EVVIR0NN1E9FAL HEAL(!-,' <br /> PERMI1T(Si RUES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Jennifer Berjiklan BUSINESSIAGENCY:Adyanced GeoEnviron mental <br /> ADDRESS: 837 North Shaw Road CITYISTATE/ZIP: Stockton, CA <br /> PHONE (1): (209)467-1006 PHONE(2):(209)483-34'01 FACSIMILE: (209)467-1118 <br /> TENTATIVE'APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business deW ' date of application submittal-'Tentative only-must be confirmed) <br /> r] CHECK BOX TO EXPEDITE REQ T-$12 (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINE S DAYS <br /> SIGNATURE OF APPLICA DATE IZ Z <br /> Electronic Information: ❑ Llat❑ Map-Descrlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Street ft Street Name City Unit 1 <br /> 1. 2881 Navone Road Stockton h 0 &0 <br /> 2. rar Wcs F S{�LR {q Z �� w o 4 (�l /t� nit y <br /> 3. LA �`" I it t I <br /> I. <br /> 4 Unit 3 <br /> 5. <br /> 6unit 4 <br /> 7. <br /> 9 Unit G <br /> 9. <br /> 10. 'unit s <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT Q SOLID WASTE FACT}ITYNECLQ/'�,, <br /> I"""ir ,� <br /> x❑OTHER CLEANUP$ITE(NON-LOP) ❑FOOD FACILITY ❑WASTETIREy <br /> []UNDERGROUND TANK(MONITORINGIREMOVAL)C( [I DOG KENNEL Q DAIRY <br /> Q HAZARDOUS WASTE GENERATOR dS ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> x]TIERED PERMITTED FACILITY of\ ❑MOTELIHOTEL ❑PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA 0 LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 9:00 AM-5:OOPM(EXCLUDING HOLIDAYS <br /> 1, Llst up to ten gddresses In the space above. Select the types)of flies from the list above by checking the appropriate <br /> box(ea). At least one file type MUST be selected. Fax to(209)454:913a 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 FHD will notify the applicant If any EHD flies exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flies will behold 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 atthe expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> CHO US6 ONLY <br /> Received Time-Dec. 12• _2014_ 8:49ALNe, 7704 e„n1 <br /> EHD 4648 <br />