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0�8-1y1,,6/2017 12:29 (FAX) P.0021002 <br /> DM ECE IVE D SAN JOAQUIN COUNTY EHD LOO NUMBER <br /> AUG t 6 20); C <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1888 East Hazelton Avenue, Stockton, CA 95205-8232 b <br /> • <br /> aWRONMIWALHEALM Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PEFN1T/8EWbE9 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnviron mental, Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton CA 95215 <br /> PHONE (1): 209-467-1006 PHONE(2):209-623-7200 FAX OR E-MAIL: rnataI@ady2eoenv.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-3138F E(CASH O HECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 08/16/2017 <br /> 1. List un to ten addresses in the space below. Select the tye(a)j6f'Nles from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to (209) 64.0138 or mall 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 END records, please contact END at the number noted above. <br /> 3. The END will notify the applicant If any EHD flies exist An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of application. The flies 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 atthe expense of the applicant. 0fZ <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 Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> Z UNDERGROUND TANK(UST) Street d Street Name City <br /> CLEANUP SITE(LOP) ❑CONBOREN <br /> Q OTHER CLEANUP SITE(NON-LOP) ' 1011 North Broadway Ave Stockton <br /> ❑HAZARDOUS WASTE El DAIRY <br /> Q TIERED PERMITTED FACILITY ] 916 North Broadway Ave Stockton <br /> ❑ASOVEGROVND TANK <br /> ®UST (MONITORING/REMOVAL) Cl PWS <br /> ❑HAZARDOUS MATERIALS 3 <br /> ©SPILURELEASE RESPONSE <br /> WATER OII. <br /> SOLID WASTE FACILIN/VEHICLE A <br /> FOOD FACILITY <br /> ❑POOL/SPA SITZ MMOAWN <br /> ❑DAIRY E <br /> ❑LAND USE APPLICATION SITES <br /> ❑SEPTIC PUMPER TRUCK I ❑HON8IRG <br /> B <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTEWATYR TREATMENT PUNT ©CUPA <br /> ❑HOUSING ABATEMENT <br /> MOTEUHOTEL <br /> ❑CHICKEN RANCH/DOD KENNEL CUPA-UST <br /> ❑MEDICAL WASTE FACILITY S <br /> ❑TATTOOIBODY P2RCINe <br /> r7 WASTE TIRE ❑SOLID WAYTE <br /> P <br /> ❑GOMPLAINT <br /> d OTHER(PLEASE SPECIPY): n AUCOUNnNG <br /> TO <br /> "'BOXED AREA•EHD USE ONLY"' <br /> R�celved T me—Au, 16.�,2017T111N9ALM-No. 2109 <br />