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was 08/13/2015 13:29 (FAX) P.0011001 <br /> r RECEIVED - �- <br /> •• DATE RECEIVED EHD LOG NUMBER <br /> • AUG 13 2015 SAN JOA1UUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ENVIRONMENTALH 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> PERMIT/SERVICES phone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd )70 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnvironmental. Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton, CA 95215 <br /> PHONE (1): 209-467-1006 PHONE(2):209-662-2076 FACSIMILE:209-467-1 118 <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 EXPEDITE RE ST $130 F E(CASH E K N EST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 8-13-2015 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street b Street Name City unit 1 <br /> 1. 1371 East Pine Street Lodi kkc <br /> 2, 1 Winemasters Way Lodi LtigNrX <br /> W-lJnle2 <br /> 3. 1 R v.,. <br /> 4. P4'1� 5T Unit 9 /-r <br /> 5. <br /> .-SITE MRIOA'110N <br /> 6' La74j 10tQ( 4J It4' <br /> 7. <br /> 8. ❑Unit 6 <br /> 9. <br /> 10. J <br /> .'17]UnIt6 VP <br /> Specific Data Range of Information Requested: From All to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 0 UNDERGROUND TANK(UST)CLEANUP SHE(LOP) ❑MEDICAL WASTE FACILITY Q SOLID WASTE FACLITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT QWASTE TIRE <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILrrY DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL []WASTEWATER TREATMENT PLANT <br /> Q HAZARDOUS WASTE/HAZARDOUS MATERIALS ❑MOTE/HOTEL ❑PUMPER TRUCKIYARDICHFMICALTOILETS <br /> Q TIERED PERMITTED FACILITY ❑POOLISPA- LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ❑1 COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAY$) <br /> 1. List up to ten addresses In the Space above. Select the type(s)of flies 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 mall to the address Indicated above. Address <br /> ranges will not be accepted.Applications received after 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 flies exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flies will behold for It 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$128 deposit prior to review, "'BOXED-AREA-EMD USE ONLW" <br /> rr;';Jek CLL' /L'. ✓tC I%A Nu �+nut�l n wL' ¢ R c0 moi- v J. <br /> l llwe.^Wi�t I.Jk <br /> ❑ Records provided by Staff•P_PIR Complete.staff-": <br /> EXD 68-08 "' <br /> Received Tim A..¢ 13 2015 1 . 22PM No 348='__� <br />