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SAX) P.001l001 <br /> 'I� 05118I2015 09.38 •0 EHD LOU NUMBER <br /> � RECEIVED <br /> M SAN aJOAQUIN COUNTY <br /> INN ENVIRONMENTAL HEALTH DEPARTMENT Iq <br /> NIN = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> MAY 18 2'Ulei'ephone: (209) 466-3420 Fax: (209) 464-0138 Web: www,sjgov.org/ehd a <br /> ENVIRON MENTIA; H ACIFF; <br /> 'FFl,ft! i F:t1f'rrS PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Berjikian BUSINES$/AGENCY: Advanced GeOEnyironlllenta <br /> ADDRESS: 837 Shaw Road CITY/STATEIZIP: Stockton / CA/ 95215 <br /> PHONE (1): 209-467-1006 PHONE(2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Pisses allow 10 buelnsae days from dere of application submittal-'Tentative only-must be conflrmad) <br /> ® CHECK BOX TO EXPEDITE E UES - 1 FEE(CASH On CHECK ONLY)-REQUEST PROCESSED E IN 3 BUSINESS <br /> SIGNATURE OF APPLICANT `/ <br /> Electronic Information: ❑ List❑ Map-Description: <br /> \ EHD USE ONLY <br /> '7V-1 2475 West Yosemite Avenue, Manteca v, r <br /> 111 Unit 1 <br /> 225 Swanson Street, Manteca LJ F(-- <br /> ***2427 West Yosemite Avenue, Manteca *** T,vt�t� ��i�c5 Unit2 f�r <br /> **"Only requesting to review UST and LOP/ LUST s <br /> files*** 15 ,"unit3 <br /> i <br /> Lj <br /> Dnit4 <br /> Unit 6 <br /> [71 Unit e <br /> to ` <br /> Specific Date Range of Information Requested; From <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES SOLID <br /> F]UNDERGROUND T <br /> TANK(UST)CLEANUP SITE ❑HOUSING ABATEMENT �% WAST WASTE FACILRYNEHICLE <br /> ❑X OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILRY ❑ <br /> 7X UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL Q DAIRY <br /> ❑x HA7ARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ERMFACIMOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> (]TIERED l3ony IED LING iY ❑ - <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA 0 LAND USE APPLICATION SRES <br /> F-1 MEDICAL WASTE FACILITY Q COMPLAINT 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, I Ist uo to ten addresses In the apace above. Select the types)of fliesfromthe list or mail to abaove Bas Indicated bad Address <br /> box(es). At least one file type MUST be selected. Fax <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 /> ent for <br /> 2 The EHID days aftervrelnotify the ceipt of application.plicant If any EFID files exist. An The files will be hold for a maximtum of five business il be confirmed approximately ton days for review. Appointments (1O) <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not he Immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any Nle 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 $126 deposit prior to review. <br /> EHa USE ONLY <br /> Received Time-May. 18. _2015- 9:34AM_No. 8739 <br /> RHO 46.06 <br />