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AdvTnv,,!:I7p]�"1�b1� To: Fax: (209)464-0138 ge 1 ort 02/13/20179:50 AM <br /> JDAT R IVID EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY low <br /> 017 10NIVIRONMENTAL HEALTH DEPARTMENT w <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTAL g L <br /> VIRONMT4.LF:}r' *lephone: (209) 468-3420 Fax: (209) 464-0138 Web: WWW.sjgov.org/ehd 51o� <br /> PEMIT/SMA.CE$ PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jackie Hyman BUSINESSIAGENCY:Advanced Geo Environmental, Inc. <br /> ADDRESS: 3335 E. Mireloma Ave. #142 CITY/STATE/ZIP: Anaheim CA 92806 <br /> PHONE(1): X00-511-9300 PHONE(2): FAX OR E-MAIL: jhyman advgeoenv om <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-17n IG.eT-$139 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 13 February 2017 <br /> 1. List up to ten addresses In the space below. Select 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 after 3.00 pm win 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. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> 29 <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES _ 1 EHD USE ONLY 7 <br /> ®UNDERGROUND TANK(UST) Street# Street Name <br /> city <br /> CLEANUP SITE(LOP) 7 <br /> .IOTMERCLEANUPSRE(NoN-LOP) 1 1113 East Roosevelt Street Stockton COXBUYER <br /> U� ("(� <br /> ®HAZARDOUS WASTE <br /> ® <br /> U�TIERED PERMITTED FACILITY 2 / , ❑DAIRY <br /> ®ABOVEGROUND TANK 1119 East Roosevelt Street Stockton Na �P <br /> ®UST (MONITORING/REMOVAL / pwv3 <br /> ®HAZARDOUS MATERIALS 3 1040 North Union Street Stockton UST P�aU L, <br /> SPILURELEASE RESPONSE AlQ <br /> ❑SOLID WASTE FAOILDY/VEHICLE 4 WAEft QumL <br /> ❑FOOD FACILDY <br /> lj POOL/SPA <br /> ❑DAIRY 6 SRE MmagltOX <br /> ®LAND USE APPLICATION SITES <br /> r-1 SEPTC PUMPERTRUCK/ Ij HOUBINO <br /> YARD/CHEMICAL TOILETS 6 <br /> ❑WASIEYVAmRTREATAEw PLANT <br /> H WSINGA6ATEMENi 7 <br /> CUPA <br /> ❑MOTEL/HOTEL <br /> CHICKEN RANCH/DOG KENNEL <br /> CUPA-UST <br /> MEDICAL WASTE FACILITY 9 <br /> ❑TATTCO/BoDY PIERCING <br /> ❑WABTE TIRE SaLlo Wg6R'. <br /> ❑COMRAINT 9 <br /> ❑OTHER(PLEAGE SPECIFY): <br /> 10 I:1 ACEOUMINO <br /> —BOXED AREA-EHO USE ONLY" <br /> ❑ Records provided by Staff-PPR Complete, staff Name: <br /> Received Time—Feb. 11 -2017— 9:46AW-No. 0830 <br />