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10127/2016 09-54 ,AX) P.0011001 <br /> i <br /> ;: RAECava) u4cl <br /> oom SAN JOAQUIN COUNTY EHa LOG NUMBER <br /> OCT 2 ENVIRONMENTAL HEALTH DEPARTMENT �/ <br /> 1868 East Hazelton Avenue, Stockton, CA 9520,5-6232 <br /> Telephone:(208)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/Ahd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ref oe BUSINESS/AGENCY: nce <br /> ADDRESS: Advad GeoEnvironrnental Inc <br /> _ crrnsTaTE/ZIP:Sjocktqn. <br /> PHONE(1): 209-467-1006 PHONE(2):2()U P3-7200 FAX OR E-MAIL: <br /> Please allow 10 bushes;days from date of application submittal for the records to be avallable.vg6aenv corn-_ <br /> Staff will contact you to arrange an appointment date and time to preview the requested records. <br /> CHECK BOX TO EXPFD! E REQUEST-$139 FEEIASH OR CH ONLY)-REQUEST PROCESSE=D IN 3 BUSINESS AYS <br /> SIGNATURE OF APPLICANT DATE IJ �� <br /> 1. let u to ten addresses in he apace below. f ct a type(;)of files from the Inst below by checkln®the appropriate <br /> box(e;). At least one file type MUST be selected. 08 464-0938 or mail I dlcetpd above. Address <br /> ranges will not be accepted,Applications received after 3:00 pm will be processed the next bu8inea5 day. <br /> 2. For assistance In Identifying the nature and content of EHD records, plea;e 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 Game condition as released will be reorganized by EHD staff at the expense of the opplicant, <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: ❑ Llst Ej Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT F)LB ADDRESS 3 9 (!5,1- CD fO-- V�1 <br /> FILES EHb USE ONLY 2-F-(v <br /> UNDEROROVND TANK(USl) Street 0 Street Name city <br /> CLEANUP SITE(LOP) ' cf) --'51 1 �� 1_ ` [�CONSUNEA <br /> OTHERCLEANUPSITE INON•LOP) 303 S Cherokee Ln Lodi 10 LA ]'CC.6 <br /> HA?ARDoue WASTE _ <br /> 0 Owar <br /> z <br /> TIERED FERMR7ED FACILITY 2 420 S Cherokee Ln Lodi CIO � ��� 'Z <br /> ABOVEGROUND TANK <br /> {IST 1MONITORINIZIREMCVAL1d /'L /_�/ !w PWS <br /> HAZARDOUS MATERIALS <br /> �•`., 612 5 Cherokee Ln Lodi �1y r <br /> SPILURFLFASE RMPONSE '�/� <br /> SOLID WASTE FACILFY rHLC 4 401 S Cherokee Ln Lodi 012 T-9Z)o WAM QUALIT <br /> J <br /> 0 Food FACILITY �T� J T L401 ,,`` <br /> POOL ISPA --- - SRII MMGATION I�"! I'+(tn <br /> E]DAIRY 6 <br /> LAND USE APPLICATION SITES <br /> SEPTIC Pk oAWA TRUCK I Q HOumNe <br /> 6 <br /> YARD)CNEMIGAL TOILETS <br /> WASTEWATER TREATMENT PLANT <br /> CUPA <br /> HOU&INO ABATEMENT <br /> r7MOTELMOTEL <br /> 6__!CHICKEN RmcC(!DOG KENNEL �CUPA-UST <br /> ❑MEDICAL WASTE FACILITY 8 <br /> ❑TATTPWBODY PIERCING - <br /> ❑WASTE TIRE .SOLID WASTi <br /> 9 <br /> NGOMPLAINT <br /> 0 OTMER(PLEASE SPECIFY): <br /> ©ALCOUINTkNO <br /> 10 <br /> ...A YEn AREA- <br /> M Records provided by Staff-PPR Complete. staff Name: <br /> Received ilme dct, 27. 2016— 9 : 3407k 0233 <br />