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9916 '°N WAS SIg '9l ,2IIV anvil paAi,a3aa <br /> EHD LOG NUMBER <br /> DATERECEIVED SAN JOAQUIN COUNTY 0oq1 <br /> RECEIVED ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> AUG 18 2015 Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> PERMIT/SERVICES BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> APPLICANT: Diane Becker <br /> ADDRESS: 3335 E . Miraloma Ave, #142 CITY/STATEIZIP: Anaheim, CA 92806 <br /> PHONE (1): 714-529-0200 PHONE (2): FACSIMILE:-714-529-020:3 <br /> Please allow 10 business days from d to of application submittal for the records to be available. <br /> Staff will contact you to arrange a p ointm date and time to review the requested records. <br /> ❑ CHECK 80X70 EXPEDITE REQUEST- 13 F E(CA HECK ONLY)-REQUEST PROCESSED IN 3 SIpN SS DAYS ,n� <br /> SIGNATURE OF APPLICANT - DATE { Ul z_7 <br /> Electronic Information: ❑ List ❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city <br /> S ~ <br /> 2. 1444 Tillie Lewis Drive 2 ❑Unit1 <br /> 3, p Unit 2 <br /> 4 Unit 2H <br /> 5. ryr <br /> 6. <br /> .��� Iv]Unit 3 <br /> 7, Unit 4 <br /> a, 5YSITE MITIGATION <br /> 9. <br /> 10. Unit 5 <br /> Specific Date Range of Infonnatlon Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY SOLID WASTE FACILITYIVEHICL.E <br /> R]OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> y®�ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> v HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKNARDIC14EMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 5:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above 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 appointment for 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$130 deposit prior to review. --BOXED AREA-EHD USE ONLY-' <br /> J F1(e Lw t°.o I;W C� � z fu(`INy T)I LeJI <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: a°1 <br /> EHD 46-06 111115 ■ 1 <br /> Y 1 <br /> M-1 <br />