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ROf?U <br /> woo 10/27/2016 09:54 AX) P-0011001 <br /> ■% RAEca v ry +r. C'h <br /> son SAN JOAQUIN COUNTY '- EHD LOG NUMBER <br /> aCT � „ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 9868 East Hazelton Avenue, Stockton CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:WWW,Sjgov.org/and <br /> RQ'1.�." firtL H`F�tll i'f <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: t3 USINESWAGENCY:Advan .¢ .P <br /> ADDRESS: 837 Shaw Road d r Ql=nvironmental Inr <br /> CITYISTATEIZIP-Stock ton CA 9,521 <br /> PHONE (1): 209-467-1006 PHONE(2): 2 _ p FAX OR E-MAIL: <br /> natal@ natal- advcteosnv corn— <br /> Please allow 10 business days from date of appllcation 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 EXPEDI i l?QUEST-$139 F ASH OR CH ONLY)-REQUEST PROCESSED IN 3 BUSINESS)DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> 1, 1st up to ten addresses in he space below. I t the type(A)of files from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax t2 J209)464-0139 or mail to the addrgalLigdIcated 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, plana@ contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant If any EHD files exiat. An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of appllcatlon. 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 some 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[j Map—Description: <br /> Specific Date Range of Inforrnafion Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS hI— 6D f'r i4�T <br /> FILES EHD USE ONLY <br /> UNDERGROUND TANK(UST) Street 4 Street Name City <br /> CLEANUP SITE(LOP) r0 -�p i Utl T-M)Djoo�j CORSUMER <br /> OTH2R CLPANUP SITE INON•LOP) 303 S Cherokee Ln Lodi "19'r 4,0 <br /> HAZARDOUS WASTE /� <br /> TIERED PERMnTED FACILITY Q 420 S Cherokee Ln Lodi cr (., }l r- Z Z-7 Q DAIRY <br /> AaovE4RO17ND TANK <br /> UST (MONITORINQI REMOVAL) j' n/) 7I �/J ❑PWS <br /> HAZARDOUS MATERIALS. /,�,, 612 S Cherokee Ln Lodi <br /> SPILLIREL£ASE RESPONSE <br /> .SOLID WASTE FACILITY%%HHZM 4 401 S Cherokee Ln Lodi -Ir L�It�j�r��T- Pa`�0 �Z,.j �WATM OVIALPTr I <br /> FVW FACILITY T.a U0 %2 i 4 ir1' fid' 1 <br /> POOL f SPA \\11 I J J <br /> Srtt M nwnoN 0N1 GC <br /> DAIRY 6 <br /> LAND Liar,APPLICATION SIrP9 <br /> 6FPTIC PUMPER TRUCK! []MOUIUNG <br /> a <br /> YARD I CHFMICAL TOILETS <br /> ®WASTEWATER TREATMENT PLANT <br /> I]HOus1N0 AuATEMrnT Y W CUPA <br /> 0 MOTEL1HCTLL <br /> n CHICKEN RANCH I DW KENNEL G�CUPA-LIST <br /> MEDICAL WASTE FACILr7Y a <br /> TAT o"oDY PIERCING <br /> WASTE TaF ❑SQU°VV19TII <br /> 9 <br /> COMPLAINT <br /> CTHERIPIEASP spCclrY)- 0 ACWUKTINO <br /> 10 <br /> "'BOXED AREA. <br /> I- - l - 3 ,1 <br /> �j -- <br /> ❑ Records provided by Staff-PPR Complete. sun Name; <br /> Rece I ved TIme Oct, 27. 2016— 9 . 34AM—Na. 0233 <br />