Laserfiche WebLink
f Ad',anted GeoEnviroiFax:(707)570-14rr1 To:2094640135@rcfax.con Fez: +12084640138 i o(1 09131 Y201fi 4:05 PM <br /> FEoa IVSD SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT g4IL l <br /> APR 0 1 2016 1868 East Hazelton Avenue, Stockton, CA 95205-6232 ✓ <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> ENVIRONMENTAL HEALTii <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Berjikian BUSINESS/AGENCY:Advanced GeoEnvironmental <br /> ADDRESS: 3335 East Miraloma Avenue CITY/STATE/ZIP:Anaheim, CA 62806 <br /> PHONE(1): 800-511-9300 PHONE(2):209-483-3401 FAX OR E-MAIL:jberjikian@advgeoenv.com <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 appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-P.EQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 03/31/2016 <br /> ............. <br /> Electronic information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS <br /> Street# Street Name City EHD USE ONLY <br /> 1' 686 East Lockford Lodi qGy r <br /> 2. 9001/2 East Vidor Road LodiUnit 1 <br /> 3. 930 East Victor Road Lodi Unit 2 <br /> 5 <br /> 4. 1220 East Victor Road Lodiu Z i 1 - Unit 2H 6r77�� <br /> 5. 687 East Lockford Street Lodi l unit 3 - <br /> • F. !UD PU <br /> 5•- 681 East Lockford Street - Lodi <br /> ( '( G' nit 3HM <br /> r' 925 South Victor Street •f Lodi 5 ❑ unit 4 <br /> $' &50 als •t Loaf: VA • * L'c A)0(1)14P SITEMITIGATION <br /> 9' 0 Ir.jy' I NO 6b, ovu fv/s o <br /> �1A1 /� ❑ Unit 5 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 0 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MOTELIHOTEL ❑SOLID WASTE FACILrfYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑FOOD FACILITY l� FT I)e r5/�rKJT � <br /> X1 UNDERGROUND TANK(MONITORINGIREMOVAL)tx ❑WASTETIRE ❑DAIRY,POOLISPA ULn i 1 .f-,-+ (I`)7-1to <br /> ©ABOVEGROUND TANK 0( ❑CHICKEN RANCHi DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> rI HAZARDOUS WASTE cC ❑MEDICAL WASTE FACILITY ❑PUMPER TRUCKIYARDICHEMICAL ToiLEfS <br /> X❑HAZARDOUS MATERIALS ❑TATTOO113ODY PIERCING ❑LAND USE APPLICATION SITES <br /> ❑TIERED PERMITTED FACILITY ❑COMPLAINTIRESPONBE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0136 or mail 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 exist. An appointment for review will 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 /> 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$130 deposit priorto review. <br /> TM*BOXED AREA-EHD USE ONLY*** <br /> itw rnyf ori v' a 5r o ; <br /> 8 430 U` �. <br /> s nrovidedy <br /> -Received Time=Mar. 31. -2016- 4:05P o. 06 5 <br />