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fid! 1T Avtu TAX) P.001/001 <br /> DATEE•RECEIVEDSAN JOAQUIN COUNTY <br /> nL� EHD LOG NUMBER <br /> APR� � I I 2W \` <br /> `/t-�� ENVIRONMENTAL HEALTH DEPARTMENT /r�r//�� <br /> E�N1/IWNmEWAl.t1Ei)+tTI� 1868 East Hazelton Avenue, Stockton, CA 95205-5232 /.L` y�1 <br /> PEMNff�t�, „• Telephone: (209)488-3420 Fax: (209)484-0138 Web:www.sigov.org/ehd o `` <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> PPLICANT: Rebecca Nebel BUSINESS/AGENCY:Advanced GOOEIIVIfMmE11101,Inc <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP;Stockton,CA 05216 <br /> PHONE(1): 200.467-1000 PHONE (2):209-8217200 FAX OR E-MAIL: rnatal®advgeoenY.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 EXPE REQUE�ST�$ FEE�(.CAS/y/,OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT�(Ll.(7l / 1LLT 9ffl DATE 04111/2017 <br /> 1. List up to ten addresses In the space be elect the 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 mall to the address Indicated above. Address <br /> ranges will not be accepted.Applications received otter 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 by the same applicant may require a $139 deposit prior to review. LA <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM•5:OOPM(EXCLUDING HOLIDAYS) l l <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> - ®UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) ❑CONSUMER <br /> OTHER CLEANUP SITE(Non-LOP) 881 Shaw Rd Stockton <br /> [XI HAIArmWS WA E DAIRY <br /> O TIERED PERMITTED FACILITY 2 1013 Shaw Rd Stockton 1�'Yy11�iP/ O.W/ /� <br /> X ABOVEGROUND TANK <br /> rX UST (MONITORING/REMOV E3 Pws <br /> ❑x HA&AHocu9MATEmALB 1113 Shaw Rd Stockton P)P/ ` <br /> O SPILIJRELEASE RESPONaE/�.�// <br /> WATCR DUALITY <br /> El$QLID F-1 FWD WAEIFADITE'ACITM VEI"CZy 4 1448 Shaw Rd Stockton <br /> �n <br /> L]POOL I SPA SITE MmwnON <br /> DAIRY a <br /> ®LAND USE APPLICATIDN.SITES <br /> ❑ HOUSING <br /> SEPTIC PUMPER TRVCK I s 11 C I ❑ <br /> a 'Vl��k'�1 �1 <br /> YARD I CHEMICAL TOILEra 3'I —� <br /> ❑WASTMATER TREATMENT PLANT SrCUPA <br /> ❑HOUSINO ABATEMENT 7 <br /> ❑MOTEUHOTEL <br /> CHICKEN RANCH/DW KENNEL CUPA-UST <br /> ❑MEDICAL WASTE F;OILITYmr <br /> S <br /> rl TATTOO/eODY PIERCING BOU4 WMTE <br /> ®WASTE TIRE <br /> 9 <br /> ❑x GOMPUINT <br /> OT AIR(PLNASH SPECIFY): ❑ACOOUMTNO <br /> 10 <br /> "'GOXED ARCA-EHD USE ONLY— <br /> Reeei .ed TmeldA�r� i1 �f2011,11„48AMAI1230 <br />