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11118[2014 16:38 (FAX) � O <br /> 0 <br /> EHD LOG NUMEER <br /> I■ DATERECEIVEO <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> NOV 18 2m1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0136 Web: www.sjgov.org/ehd <br /> -` PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Jennifer Beriikian BUS INESSIAGENCY:Advanced Geo Environmental <br /> ADDRESS: 837 North Shaw Road CITYISTATE17JP: Stockton, CA <br /> PHONE (1): (209)467-1006 PHONE(2):(209)483-3401 FACSIMILE: (209)467-1118 <br /> TENTATIVE'APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of appllcatleo submittal-'Twictive only-must be confirmed) <br /> ❑CHECK BOX TO IXPFDfTE o $125 FE SH OR CHECK ONLY)-REQUEST PROCESSED IN 1gIB S NESS DAYS <br /> SIGNATURE OF APPLICA DATE b` <br /> org <br /> Electronic Information: ❑ ist a Iptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Strout Name city Unk 1 <br /> 1. 230 East Fremont Street 1 r` Stockton t � �P <br /> 2• 401 North San Joaquin Street Stockton �,—��k,� p u Itz � <br /> 3. <br /> 4. !'Unit 3 <br /> _o->;it4 <br /> 7, <br /> S. 0 Unit e <br /> 9. <br /> 10. 1 Q-UnIt 6 <br /> Specific Data Range of Information Requested: From all __ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ARATENENr ❑x SCUD WASTE FAGLrrYNEHICLE iIZ <br /> x❑OTHER CLEANUP SITE(NON•LOP) ❑FOOD FACILITY ❑x WASTETIRE I �. <br /> x❑UNDERGROUND TANK(MONrTOMNCJREMOVAL) ❑DOG KENNEL ❑x DAIRY <br /> x❑HA7ARDOUSWASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT ,y <br /> 0 TIERED PERMITTED FAULTY ❑MOTELIHOTEL ❑PUNPERTRUCKIYARDICHUACALTOILETS <br /> ❑TATTOOIBDDY PIERCING ❑POOUSPAx❑LAND USEAPPUCATIONSITES <br /> ❑ MEDICAL WASTE FACILITY ❑x COWLANT RECORDS ❑OTHER(PLEASE SPEGFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW. MONDAY-FRIDAY3:00 AM-5:OOPM(EXCLUDING HOUDAYs) <br /> 1. List up to ten addresses In the space above. Select the type(s)of flies from the list above by chocking die appropriate <br /> box(es). At least one file type MUST be selected. �ax to(20914640136 or mail to the addresa Indicated above.. Address <br /> ranges will not be accepted-for additional asslatanca with file addresees,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appolnbrnent for review will be confirmed approximately ten(10) <br /> days after receipt of appllcaflon. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file is available. <br /> 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the appllcant <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> EHO USE ONLY <br /> EMD4"5 <br /> Received Time Nov, 18. 2014 4: 20PM No- 7590 <br />