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n 02/02/2015 14:32 :) <br />fRECIEVI� <br />EL) SAN .JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />FEB 0 2 2015 1666 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />ENVIRONMENTAL HEALTH <br />PERMITISERVICES <br />PUBLIC RECORDS RELEASE APPLICATION <br />P.0011001 <br />EHD LOG NUM <br />APPLICANT: Jennifer Berjlklan BUSINESS/AGENCY: Advanced Geo Environmental <br />ADDRESS: 837 Shaw ROadk CITYISTATE21P:Stockton, CA 95215 <br />PHONE (1): 209-467-1006 PHONE (2):209-483-3401 FACSIMILE: 209-467-1118 <br />TENTATIVE' APPOINTMENT DATE: Time: <br />(Please allow 10 buslneas days from data of application submittal-'Tantative only - must be con rmed) <br />❑ CHECK BOX TO EXPEDITE $128 F OR CHECK ONLY) - REQUEST PROCESSED IN 3 US DAYS <br />SIGNATURE OF APPLICANT DATE <br />Electronic Information: []Llap — Description: <br />t►5y V-14104, , to <br />N xSl a♦ [,,;.w Ilwv�t l.(7 cz1 <br />1a�1.^ For p. L. <br />-tl"�i"1 F� l� i�L, t��.✓i at/ t <br />41 KLA',x jiALe /W5, 0j We I 0✓I:t�, <br />FILE ADDRESS <br />EHD USE ONLY <br />171 Unit 1 <br />Street 0 <br />Street Name City <br />1. <br />1246 <br />Vanderbilt Circle <br />Manteca <br />y"P <br />f ' hT <br />1771 'Unita <br />2. <br />1299 <br />VanderbiltCurele Manteca <br />3. <br />1199 <br />Vanderbilt Circle <br />Manteca <br />ti( <br />�T ) t>; MNA <br />unR3 <br />4. <br />1153 <br />Vanderbilt Circle Manteca <br />5. <br />r#"A <br />Unit 4 <br />6. <br />7. <br />r <br />Tlvte�'CJ �',�tl'Cj 4..11 (40'kS. <br />Unit 5 <br />8.El <br />9. <br />iU A") <br />,Unit s <br />10. <br />Specific Date Range of Information Requested: From al I to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT x❑ SOLID WASTEFACILRYNEHICLE <br />OTHER CLEANUP SITE (NON•LOP) - ❑ FOOD FArturY ❑x WASTETIRE <br />XFl UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL M DAIRY <br />]HA7.ARDOUSWASTE GENERATOR El CHICKEN RANCH ❑WASTEWATERTREATMENT PLANT <br />] TIERED PERMITTED rACILITY ❑ MOTEUHOTEL ❑ PUMPER TRUCKIYARDICHENICALTOILETS <br />] TATTOOIBODY PIERCING ❑ POOLISPA I] LAND USE APPUCATION SITES <br />]MEDICALWASTEFACILIY JKCOWLAWTRECORDS ❑OTHER(PLEASE SPECIM <br />WELLANDSEPTIC PERMIT RECORDS ARE AVAILABLE FOR REMEW: MONDAY-FwoAY8:00 AM-5:OOPM (EXCLUDING HOLIDAY$) <br />1. List uo to ten addresses In the apace 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 1209) 484-01135 or mail to the address indicated above. Address <br />ranges wl II 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 flies exist An appointment for review will be conflrned 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 END staff may not be Immediately avallabie for review. A now application may be <br />submitted when the file Is available. <br />4. Any rile 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 some applicant may require a $125 deposit prior to review. <br />coy tw��� t o z- i ,� <br />t►5y V-14104, , to <br />N xSl a♦ [,,;.w Ilwv�t l.(7 cz1 <br />1a�1.^ For p. L. <br />-tl"�i"1 F� l� i�L, t��.✓i at/ t <br />41 KLA',x jiALe /W5, 0j We I 0✓I:t�, <br />EHD 40-00 a/1/11 <br />Received Time Feb, 2. 2015 2:31PM No. 8008 <br />