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%M 05/2212017 15:40 TAX) P.0011001 <br /> ' y <br /> DATE��ENED��'1�� � <br /> r (({{yy y_ SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> a <br /> • MAL G 2l111 e,�`� <br /> ENVIRONMENTAL HEALTH DEPARTMIENT 1711865 East Hazelton Avenue, Stockton,CA 85205-6232 <br /> W4lAL . HTeiephona:(2f}9)488.3420 Fax:(209)464-0138 Web:www-sjgov.org/ohd <br /> 1/i1 N F�r'k <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rene Toth 13USINESSIAGENCY:Advanced GeoEnvironmental Inc._ <br /> ADDRESS: 837 Shaw Road CITYISYATWZIP.Stockton, Califomia <br /> PHONE(1): 209-467-1006 PHONE(2): FAX OR E-MAIL: Rtoth adv eoenv.corn <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 appo to and time to review the requested records. <br /> El CHECK BOX TO PXPEDI R QU T-$13 E ( H CH K ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 05/22/2017 <br /> 1. List u to en addresses in the sp co w, lect the typ o es from the list below by checking the appropriate <br /> box(es). At least one fila type MU be selected- !ax to 12p9)4B9 0 Pr mall tp the address lndl +dH nl,ne Address <br /> ranges will not be accepted.Appl cations received after 3,00 pm will be Processed the next huslness 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 EH13 flles exist. An appointment for review will be confirmed approximately ten(10) <br /> days attar receipt of application. The fllas will be held for a maximum of five buslnesa 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$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:0013M(EXCLUDING HOLIDAYS) <br /> Electronic information: ❑ List©Map--Description: <br /> Speclflc Date Range of information Requested: From to <br /> ENVIRONMENTAL _ l <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> ®UNDER(3ROUNL TANK(UST) Street# Street Name Clty <br /> CLEANUP sire;E CPI �+ p n+ r_ I� 'Y L7 caNeuure <br /> OTHER CLFANDP SITE(NON-LOP) ' 3568 Arch (load tockton <br /> HAWHC • 'f. <br /> WA&TE - <br /> Q TIERED PERWIrrED FACILITY 2 3131 Arch Road Stockton �)r" cI PAmr <br /> Q AeDVEORCUND TANK �' <br /> -_T&_1 �1 <br /> ❑X UST (MONITORING I REMOVAL) <br /> ®HA£ARnoU8 MATERIALS <br /> sPILL1REIEAJE R=SPONSEt 2/Cx f6 <br /> ✓ Q t 601 4943 ;A-$J Stockton 1 <br /> Q PVfS <br /> SDUO VVA9TE FACILITY I MEHICI.6., 4855 CA-99 <br /> ppf, 1` I, t r j r WATER QUAD Y <br /> L]FOOD FACILITY �v ) A Stockton 1� 1 <br /> M PogL I SPA /p.rlr <br /> ❑DAIRY A 5)TENInaAn0rr <br /> Lam!LAND USE APPLICATION SITES <br /> SEPnc✓•'UNPER TRUCK I ]Hausrh� <br /> YARD I GHEMICAL TOILfine 9 <br /> WASTEWATER TREATA FNT PUNT <br /> HOU91N G ABATEMENY 7 CUPA <br /> MOTELIHOTEL <br /> L-J CHICKEN RANCH 1 Oou KENNEL <br /> MEDICAL WCUPA-LIST FACILITY 8 <br /> TATTC011)ODY PIERCING <br /> ©WASTE TIRE <br /> COMPLAINT 9 <br /> q OTHER(PLEASr SPECIFY): <br /> 10 ❑AC*ovNTINQ <br /> —92MP ftEA-RHO OUSE ONLY— <br /> rLLtc+ 'I :t�.e e � -e plc► c:a� , wt fit an neck . u,�, <br /> c. 7?' �C <br /> U S r ' ., n Jnr <br /> Records provided by Staff-PPR Complete. stafNisma: r o <br /> Received Time=May, 22. =2017= 3: 13Fivr— . mi <br /> i ri��q <br />