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D FINED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> AUG 16 20 ,. ENVIRONMENTAL HEALTH DEPARTMENT ` <br /> 1888 East Hazelton Avenue,Stockton, CA 95205-8232 <br /> • E1ARlIRQ Ji141.HEALTH Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd ?Gq 2b <br /> PEPQNIfT/SERIACES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnvironmental, 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: rnatal®adygeoenv.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 up to ten addresses in the space below. Select the ty e(e)Pfflles from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. fax to(2091464-0138 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 END flies exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flies will behold 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. <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 /> ❑X UHDeIroRmND TANK(UST) Street d Street Name city <br /> CLEANUP SITE(LOP) L]CONB,IYEN <br /> Q OTHER CLEANUP SITE(NON-LOP) <br /> ' 1011 North Broadway Ave Stockton lNP <br /> ❑HAZARDOUS WASTE ❑DAIRY <br /> ❑TIERED PERMITTED FACILITY = 916 North Broadway Ave Stockton <br /> ❑ABOVEGROUND TANK <br /> ©UST (MONITORING/REMOVAL) [3 PWS <br /> ❑HAZARDOUS MATERIALS D <br /> ©SPILURELEASE RESPONSE <br /> t'j�L3{11 <br /> ❑SOLID WASTE FACILITY/VEHICLWATERoU..ITY <br /> E C 1 i/� <br /> ❑FOOD FAOIUTY ji/I, (M <br /> ❑ <br /> POOL/SPA SNF MHUmN <br /> ❑DAIRY <br /> ❑LAND USE APPLICATION SITES <br /> C]HOUSING <br /> F1PTIC SEPUMPER TRUCK I <br /> e <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTEWATYRTREATMSNT PUNT CUPA <br /> ❑HOUSING ABATEMENT 7 <br /> MOTELJHOTEL <br /> ❑CHICKEN RANCH/DOG KENNEL CUPA-UST <br /> ❑MEDICAL WASTE FACILITY B <br /> ❑TATTOOIBODY PIERCING <br /> SOLID WA/TE <br /> ❑WASTE TIRE <br /> LO <br /> COMEUINT <br /> rl OTHaR(PLPASC aPEDIPY): �AccouenaD <br /> "'BOXED AREA-END USE ONLY'•' <br /> n,Tirq h <br /> T, <br /> Received T��e�i�u��Y6 �t2017z 11 59W—No.12109 <br />