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From:Advo ar: 7) �'7�D To: 2094640138@rdax.con Fax: (209)464-0'138 Page 2 of 2 03/021201 S 4:45 PM <br /> DAT Fi viI ����PPpp EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> c ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAR 02 2018 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: wvvw.sjgcv.org/ehd00(5 <br /> rrmAL HEALTH PUBLIC RECORDS RELEASE APPLICATION 1 <br /> FIRM �F7 a _P <br /> APPLICANT: Diane Becker BUSINESSIAGENCY: Advanced GeoF-nvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton, CA 95215 <br /> PHONE (1): 209-467-1006 PHONE(2): 714-529-0200 FAX OR E-MAIL: dbecker@advgeoenv.co <br /> Please allow 10 business days from date of application submittal forthe 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 EXPEDiT E ST-$139 FEE(GASH OR CHECK ONLY)- REQUEST PROCESSED IN 3 BUSfNESS DAYS <br /> SIGNATURE OF APPLICANT DATE 03/02/2018 <br /> 1. List up to ten addresses in the pace &Ww—Select the type(s)of files from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to (209) 464-0138 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 appointmentfor 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 $139 deposit prior to review. r� <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00 PM (EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> Specific Date Range of Information Requested: From 1/1/1940 to 3/2118 <br /> VIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS U �� <br /> FILES EHD USE ONLY <br /> FX�UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) ZZ� +�h 'af/ f TV 1 + pNSUMER <br /> FX]07HER CLEANUP SITE(NON-LOP) 1 2004 Mariposa Rd. Stockton <br /> FXJ HAZARDOUS WASTE ■ � DAIRY <br /> ❑ 2024 Mariposa Rd. �� fStockton <br /> �{ TIERED PERMITTED FACILITY 2 <br /> ❑X ABOVEGROUND TANK <br /> QUST (MONITORING/REMOVAL) PVNS <br /> ❑X HAZARDOUS MATERIALS 3 <br /> FX�SPILL/RELEASE RESPONSE - ---- - <br /> ATER QUALITY <br /> SOLID WASTE FACILITY/VEHICLE E <br /> 2rWF]FOOD FACILITY <br /> ❑POOL/SPA F,61TE MITIGATION <br /> ❑DAIRY 5 <br /> ❑LAND USE APPLICATION SITES <br /> ❑SEPTIC P LIMPER TRUCK I E]HOUSING <br /> 6 <br /> YARD I CHEMICAL TOILETS <br /> ❑WASTEWATER fREATMENT PLANT <br /> CssU,PA <br /> r-1HOUSINGASATEMENT 7 A)v <br /> i <br /> ❑M CTr 010TE L l 46 <br /> 6 <br /> ❑CHICKEN RANCH/DOG KENNEL CUPA-UST <br /> ❑MEDICAL WASTE FACILITY B <br /> TATTOO/BODY PIERCING <br /> SOLID WASTE <br /> WASTe TIRE <br /> 9 <br /> ❑COMPLAINT <br /> OTHER(PLEASE SPECIFY): <br /> ACCOUNTING <br /> 10 <br /> —BOXED AREA-EHD USE ONLY- <br /> -5-4 Y)- c i t, ' "P re Le:l{ 4 PRCI.A, ri.e 0 etlkOkn <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> Received Tiiiie_Mar. 2. 7013— 4, 33F'Ni Na, 3152 <br />