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20 02/0512016 14:50 (F P.0011001 <br /> 9EREIVSD FILE Cuo" PY <br /> � DATE RECEIVED EHD L00 NUf�IBER <br /> FEB Q 5 'b1 SAIDc � I�ll`I �� f�r <br /> ENvlPmMENTAL HEALTH DEPARTMENTIr <br /> f�' � <br /> Vi t (-� 1368 East Hazelton Avenue, Stockton, CA 952056232 <br /> lRt,�GTf � a� s <br /> fePhorte: (_OS) 466-3420 Fay: (209) 464-0138 Web: www.sjg®v.Qrg/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Berilklan BUSINESSIACENCY:Advanced GeoEnvironmantal <br /> ADDRESS: 837 Shaw Road CITiYfSTATE[ZiFStockion,CAS5215 <br /> PHONE (1): 209-467-1006 PHONE (2): 209-483-3401 FAX OR E-MAIL: 209-467-1118 <br /> Please allow 10 business days from date of application submittal for the records to be available. — <br /> Staff will contact you to arrange art1.a tment date and time to review the requested records. <br /> ® CHECK BOX TO EXPEDITE AWES 1 FEE(CASH CKECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGN'A.TURE OI~ AtPPLICANTpp C�11 DATE <br /> Litt map—Description: <br /> FILE ADDRESS <br /> E:HD USE ONLY <br /> streat ti Strast Hama city <br /> 1• 2420 South Callfornla Street Stockton <br /> [I Unit 1 <br /> 2422 South Callfornla Street Stockton <br /> 3. 2402 South Callfornla Sirect- `f" Stockton Ll Unit 2 <br /> 4• 2647 South California Street Stockton ❑Unit 2H 1 � <br /> 5. El Unit 3 <br /> s" Unit 3HM <br /> 7. D Unit 4 <br /> H91 <br /> �'SITE MITIGATION <br /> /� <br /> 10 C? <br /> ,u�tc s <br /> Specific Date Range of hformat{on Requested: From to <br /> tNVIRONIMENITAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SFFE(LOP) ❑AfOTELJEiOTEL SOLID WASTE FACILI T(NEMCLE <br /> ❑X OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATUAENT ❑FOOD FACILITY <br /> © <br /> u r4DERGROUND TA14K(MONITORINGIREMOVAL) Q WASTE TIRE ❑DAIRY,POOUSPA <br /> ©ABOVEC-ROUND TANK ❑CHICKEN RA_1JCH1 DOG KENNEL ©WASTEWAir.R TREATM-Mq PLkNT <br /> ®HAZARDOUS WASTE ❑MEDICAL WASTE FACILITY ❑PUtTERTRUCK/YARDJCHEt4CALTOILETS <br /> ®HAZARDOUS MATERIALS ❑TATTOalBODY PIERCING ❑LAND USE APPUCATION SITES � <br /> ❑TIERED PERMITTED FACILITY ❑Q COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL Arm SEPTIC PERMri RECORDS ARE AVAILABLE FOR REVIEW: MONDAY•FPJ DAYS:00 Ar,g-S: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 mall to the address Ind! ted above, Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For essistanco in id5n6fying 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 flies exist An appointment for review vAli ba confirmed approyJmately ten(10) <br /> days after receipt of application. The files will be held for a maximum of fiva 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 m2y reclulre a$130 deposit prior to review, <br /> —BOXED AREA-EHD USE Ot&Y- <br /> 0446 <br /> Received Timel'eb, 5-20162-2738PIbo, <br />