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raa 06/21/2016 09:53 /FAQ P.0011001 <br /> VE DEHO LOG NUMBER <br /> BIFATERE_CTl �� d � SAN JOAQUIN COUNTY <br /> a \F <br /> En .Nj. f. a `(& ENVIRONMENTAL HEALTH DEPARTMENT 6 1 A <br /> 2% b" 1888 East Hazelton Avsnue,Stockton,CA 95205-6232 <br /> EIdV1RC1p SENTAL HEALTH lephone: (209)4683420 Fax: (209)464-0138 Vi/eb:www.slgov.org/ehd t� <br /> PERftMIT/gI:a%nrr_ PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Erin Rottacker BUSINESWAGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Rd CITY/STATE2tP: Stockton CA 95215 <br /> PHONE(1): 209 467 1006 PHONE(2): FAX OR E-MAIL:erottacker@advgeoenv.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will con ou to arrange an appointment date and time to review the requested records. <br /> ❑CHECK BOX TO EXP DIT REQUE .$ItOEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 21 June 2016 <br /> 1. List up to ten addresses In the space below. Se act 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 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 files exlsL An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of application. The flies 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 expanse of the applicant <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS APE AVAILABLEFORREVIEW: MONDAY-FRIDAY 8:00AM.5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTALr <br /> HEALTH DEPARTMENT FILE ADDRESS Ll n USE ONLY <br /> FILES EK V G ONL <br /> UNOEROBOHND TANK(USTI Street Street Name City <br /> CLEANUP STE(LOPI CANeuu¢n <br /> ' �OTMERCLEANUP SRS(NOT 18806 Lower Sacramento Rd Woodbridge <br /> HA ARDDus WASTE o NBV <br /> ®TI.OPEe IFALI , = 18970 Lower Sacramento Rd Wo rid O9awp; <br /> ABOVEOROUND TANK <br /> ®USTHA:ARDOUS MATeRIALs <br /> (MoNiTORtNG/REMOV n OPWS <br /> 501 D'Arcy Parkway Lathrop ,'N) <br /> ®SPIL/RELEASE RESPONSE ^,7 <br /> ❑SOLD WASTE FAGLRY/VedLLE 4 ATER Quum _ <br /> ❑FOOD FAGUTY <br /> ❑POOL/SPA S'M Mmc nw <br /> ❑DNRY E <br /> LAND USE APP WION SREB <br /> ❑MouewD <br /> ❑SEPTIC DUMPER TRUCK I S <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTEWATER TREATMENT PANT Ly CUPA <br /> I3 HWBINO ABATEMENT <br /> ❑MOTEIJHOTEL <br /> ❑CHICKEN RANCH/DDG KENNEL CUPA-RAZ-MAT <br /> S <br /> ❑MEDICAL WASTE FAOILflY <br /> ❑TATTOOARODY PIERCING _ 13 swo w"a <br /> ❑WASTE Ti 3 Y <br /> COMPLAINT <br /> OTHER(PLEASE SPECIFY): E3 ACc0UNi1NS <br /> 10 <br /> "'BOXED AREA-EHD USE ONLY" <br /> 111t —I '. r L4 051 -WWLI lei-30 ,n <br /> Lfala-lk I INK)(0 P.r r 35 <br /> Received Time—Jun. 21. -2016— 9: 39AN}—No. 0906. 514) <br /> L r rtecorua rOVtucu u awrr,N wnr row, atAff Nome: <br />