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ism <br /> 02/02/2015 14:32 (FAX) P.0011001 <br /> f <br /> ICC <br /> N n j G® SAN JOAQUIN COUNTY E}iD L00 NUM^ <br /> ENVIRONMENTAL HEALTH DEPARTMENT ` L <br /> FEB 0 2 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH `v) <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Berjikian EIUSINESSIAGENCY:Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw ROadk CITY/STATE/ZIP:Stockton, CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2):209-483-3401 FACSIMILE: 209-467-1116 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from data of application submittal-•Tantedve only-must be con rued) <br /> ❑ CHECK BOX TO EXPEDITE -11125 OR CHECK ONLY)-REQUEST PROCESSED IN 3 US DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Informatlon: ❑ LI ap—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street it Street Name City El Unit 1 <br /> 1. 1246 Vanderbilt Circle Manteca Y"P <br /> 2. 1299 Vanderbilt Curcle Manteca Imo_ hY ElUnit <br /> 3. 1199 Vanderbilt Circle Manteca <br /> 4. 1153 Vanderbilt Circle Manteca -i 6Z ) 1n MrsEIUnIt3 <br /> S. tWhA I <br /> B. a O unit 4 <br /> 7. ()naictet Qii l-'Qey w9 cc(r`�y. <br /> 8. El Unit 5 <br /> 10. ,�unm s <br /> Specific Date Range of Informatlon Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANI<(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENTx❑SOLID WASTE FACIUIYNEHICLE <br /> x❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑x WASTETIRE <br /> ❑x UNDERGROUNDTANK(MoMTORING/REMOVAL) ❑DOG KENNEL M DAIRY <br /> El HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑x TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> ❑TATT00/BODY PIERCING ❑POOUSPA Q LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY [fl COMPWNT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WEU.ANDSEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW, MONDAY-FRIDAY 8:00 AM-S!ODPM(EXCLUDING HOLIDAYS) <br /> 1. List uo 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 file type MUST be selected. Fax to(209)484- 138 or mall to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2, The E:HD will notify the applicant If any EHD flies exist An appointmentfor revlawwlil 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 /> 3. A file that Is actively being worked on by END 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 some condition as released will bs reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$126 deposit prior to review. <br /> Lor, k.1wt W I'" 115-5 VA41ejb1 SPD A'v pile. <br /> l L2pa a4 Gay levt 000 1?vlo for R f:, <br /> j-1Mr+P 1++! ilcl V'.ndtr i i in t'.+a "IntE �"5. T.7 FYIe prtl,`.ae. AJ�i e SO'Z\ re <br /> EHD 44-0e eniti <br /> Received Time Feb. 2. 2015 2:31PM No, 8008 <br />