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i°� 10/28/2015 09:02 (FAX) P.0011001 <br /> % �L VED <br /> [� <br /> ® _ AN JOAQUIN COUNTY � EHDLO.GNUMBER <br /> S <br /> OCT 2 8 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br /> SS 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTAL HEALfAlephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Serjlklan BUSIN ESS/AGENCY:Advanoed GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton,CA 95215 <br /> PHONE (1): 209-467-1006 PHONE(2): 209-483-3401 FACSIMILE:209467-1118 <br /> Please allow to business days from date of application submittal for the records to be avallabie. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUg CASH OR CHECK ONLY)-REQUEST PROCESSED IN tBI THINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information; [] LlstC Map-Description: <br /> FILE ADDRESS <br /> Street tf Street Name City EHD USE ONLY <br /> 1. 825 Navy Drive Stockton Gtievti-Ler1&;QZr1AR1X�bV, <br /> 2, 1137 South Stockton Street Stockton Cie, \-Co / - <br /> nit l <br /> 3. 1240 Navy Drive Stockton LttC�M_ ` - p M2 <br /> 4. 1145 West Charter Way Stockton cLc, folfig uvq- nj t <br /> S. 939 West Charter Way Stockton (� t3_ 11 � <br /> - 6. lA�� 'L P v uotjAlInIt3 <br /> 7 /v Ly_U' <br /> tC0 � �UNt4 <br /> 8. <br /> 11- -t� . .SITE MITIGATION <br /> 9. <br /> D'u10. <br /> nit 6 <br /> Specific Date Range of Informetlon Requested: From to <br /> �,/ ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Ey t1NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑v SOLID WASTE FACILrYfVEHICLE <br /> O'9oTHER CLEANUP SITE(NON.-LOP) ❑HOUSING ABATEMENT 0WASTE TIRE <br /> LZ UNDERGROUND TANK(MONITORINGIREMOVAL) El FOOD FACILITY ❑DAIRY <br /> Q BOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> L�'MA2ARDOUS WA6TEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKfYARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY PX-OUSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOoIBoDY PIERCING CONPLAiNTIREaPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY.FRIDAY 8:00 AM•5:0013M(EXCLUDING HOLIDAYS) <br /> 1, l,lat un to ten addresses In the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es), At least one fila type MUST be selected, Fax to(2091464 0138 or mall to the address Inciloated above Address <br /> ranges v,It not be accepted.Applications received after 3:00 pm will be processed the next buslnese 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 H any EHD flies exist.An appointment for review will be confirmed approximately ten(10) <br /> days atter receipt of application. The flies will be hold 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 releasedwill be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. "*BOXED AREA-EHD USE ONLY" <br /> 1140 kAwl r. 11t I I Kr <br /> �IWt(Y \AA CQ- C ow I I)S ib 1n k SZ We Ivr II [ }yI L4. <br /> CO 7 acire A b v Cp i ) eb t <br /> ❑ Records provided by Staff-PPR Complete-staff Name: ft7ev buln un COk�1 %v11�'v 'la T <br /> eaom-sa r-1,W 1 LA1,41 7t)w�t 5117(. kPiA, (0'r Gc�-il�knty Czovy4{ <br /> Received Time Oct, 28. 2015 8: 54AM No, 9891 (,GLa:"0�-'5iity,ACOW13ny6rU45C „yter1-h t <br /> murk(Oalyla & Aa L, (611� nz,� pit. P��c�wPlw�5 GOw�4y73 e.L toctftbr,4 J&,sats (ago M wJp. <br />