Laserfiche WebLink
10/27/2016 09:54p, AX) P.0011001 <br /> RECEIVED ' SAN JOAQUIN COUNTY CHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT (�LM A^ <br /> OCT 2 eT 2016 1668 East Hazelton Avenue, Stockton, CA 95205-6232 (YV\- LL <br /> Telephone:(209)40B-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> EIIIVIROf1lr?€r mt.HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PF ruamn»14S4S�Ee <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnvironmental. Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE21P:Stockton CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2):209-623-7200 FAX OR E-MAIL: _[natal advgeoenv.com <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 dale and time to review the requested records. <br /> CHECK BOX TO EXPWIE FFQLJFFSSTT--$138 F ( ASH OR CH ONLY)-REQUEST PROCESSED IN 3 BUSINESS PA/VAS <br /> SIGNATURE OF APPLICANT_! �4.1K-KXGC r DATE 4440�L~I I LX <br /> 1, List up to ten addresses in space below. el t e types)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 mail 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 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 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 6:00 AM•5:OOPM(P-XCLVDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH F LESRTMENT FILE ADDRESS 3 EHbtUSE ONLY <br /> VNDERORDUND TANK(UST) Street Street Name City y� <br /> CLEANUP SITS(LOP) , CO 3j �5 )-r y ry�()qD I(M1-�j ❑DOMauYER <br /> OTHER CLEANUP SRE(NON-LOP) 303 SCharokee Ln Lodi (U9U-7ta0 <br /> HASARnoue WASTE (�1 � uc��' ZZ� ❑G'"'" <br /> "TIERED PE.NnrTED FACIL" F 420 S Cherokee Ln Lodi <br /> ieAEGSOV <br /> ROI/NO TANK N� /�/ <br /> lt LIST (MONRORMO I F MOVAL) %N (0 O PM <br /> HAZARDOUS MATERIALS Ois 612 S Cherokee Ln Lodi f�Ih in� <br /> SPR.I/RELPASE RESPONSE <br /> AID`^� <br /> e <br /> aomwAETEPAcanY)uxN LE a 401 SCherokee Ln Lodi U121-P12 Elf W.,SNovum / <br /> FORD FAD0.ITY l� A 1) ,A I C-"L W,) <br /> POOL/SPA I 1am MmwnoN I " tirtl <br /> ❑DAMY <br /> 39 LAND UaEAPPLICATION SITES <br /> ❑SEPTIC PUMPER TMCK/ 0 NOVYNG <br /> S <br /> YARD/CNEYIDAL TOILETS <br /> WASTEWATER TREATMENT PIANT <br /> HORSING AmATSMENT 7 <br /> NPA <br /> ❑MOTEUNCTEL <br /> CHICKEN RANCH/DOO KENNEL <br /> GLWA-UST <br /> ❑MEDICAL WASTE FAOILm S <br /> ❑TATTOWBODY PIeRICING <br /> WASTE TIRE ❑aMIP W.vn <br /> 9 <br /> �COYPIAINT <br /> OTNER(PLF Sff SPECIFY): <br /> 'D E3AEWJMINO <br /> XED AREA.KHD Use <br /> !Q- i N 1 3 . <br /> ❑ Records provided by Staff-PPR Complete. SUNNRIRR: <br /> Received Time Oct. 27. 205— 9 : 34AM—No. 0233 <br />