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1111112016 13:40 (FAX) P.001l001 <br /> ONE RECEIVED <br /> DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> A.A NOV 1 <br /> '' la' ENVIRONMENTAL HEALTI-I DEPARTMENT -7 <br /> Ear - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Tole phone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.orglehd <br /> MWITCERVrES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Erin Rottacker BUSINESS/AGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITYFSTATI=IZIP: Stockton, CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): FAX OR E-MAIL:erottacker@advgeoenv.com <br /> Please allow 10 business days from date of applications 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 ROX TO EXP TE REQUES/ $1 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANDATE y1 142- <br /> 1. LEst up to ten adgNases a space below. bIectthVty=pt(a_ybTR1o@ from the lint below by checking the proprlato <br /> box(es). At leant one file type MUST be selected. Fax to(2091464-0136 or mall to the address ladlggted above.I Address <br /> range's will not be accepted.Applications recolvod after 3:40 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(14) <br /> days after recelpt 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 22MO condition a8 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-5:OOPM (EXCLUDING HOLIDAYS) <br /> Electronic Information: ® List© Map—Description: <br /> Specific Dale Range of Information Requested: From to r <br /> GNVIRONMENTAL 111 <br /> HEALTH FIILE FtTMEfJT FILE ADDRESS EHD USE ONLY <br /> ®UNDERGROUND TANK(UST) Street 0 Street Name city /] <br /> CLEANUP SITE(LOP) 1�j v f `� OW18UHER . <br /> ®OTHER CLEANUP.3ITE(NON-LOP) 2417 West Lane Stockton <br /> HAZARDOUS WABTEEl[3a+M I �� <br /> TIERED TTED FACILITY 2413 West Leine N e °' Stockton (.L� <br /> ®ABOVEL3AOvmAOUNU TANK !< <br /> UST (MONITORING!REMOVAL C .� Z I ❑�' <br /> ®HAZARDOUS MATERIALS 3 2801 West Lane Stockton �. <br /> ®SPILLIRELEABE R€8PONeL - _ .a�!L� <br /> WATEII AtfTy <br /> a SOLID WASTE FACILITYI VEHICLj 4 2244 West Lane Stockton <br /> FOOD FACILITY <br /> D POOL!SPA ; _ - S1Te MlnoAnaro <br /> 0 DAIRY a 1233 East Ronald Street Stockton <br /> LAND USE APPLICA71ON SIMM, <br /> SE'PTX PUMPER TRu L'K/ ❑HRU81K3 <br /> e <br /> YARD I CHEMICAL TOILETS <br /> WASTEWATER TREATMENT PUNT COPA <br /> HOUSING ALIATEuENT T <br /> MOTWHOTEL <br /> CHICKEN RANCH I Dock KENNEL GLIPA-UST <br /> MEDICAL WASTE FACILrN d <br /> L�I TATrOOMOOY PIERCING <br /> WABTE TIRE <br /> SOLAD WABTE <br /> B <br /> COMPLAINT <br /> OTHEWPLFJBE SPLCIFY); ACCdUNTINC <br /> 1P <br /> � ! r)CA 57c t 7 <br /> C <br /> ❑ Rt cords provided by Staff-PPR Complete, Staff Nam*: <br /> Received Time�Nov, 11. '201bW 1 : 20PN'Nc, 0342 <br />