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1Z1Z1/ZU1/ UdAJ (FAX) P.001I001 <br /> K <br /> RECEIVED „ ; EHD LOG NUMBER <br /> DSAN.1OAfdUIN COUNTY FIL C <br /> ■ a <br /> DEC 21 2017 ENVIRONMENTAL HEALTH (DEPARTMENT <br /> 1888 East Hazelton Avenue,Stockton, CA 95205-6232 <br /> EWIRONW€NTALHEALTH Telephone: (209)468-3420 Fax.(209)464-0138 Web:www,sjgov.org/ohd �� <br /> PERMITfSERVICES PUBLIC RECORDS RELEASE APPLICATION S22 <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@advgeoenv-corn <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 /> Q CHECK BOX TO EXPEDITE REOUE T-$139 FEE OR HECK ONLY)-REQUEST PROCESSED IN 3 SUSINE S D YS <br /> SIGNATURE OF APPLICANT DATE /c ' / �_ <br /> 1. List up to ten addresi5es In thea ace slow. Se ee t e -of flies from the list below by checking the appropriate <br /> box(ea), At least one file type MUST be selected. Fax to(209)464-0136 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 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 some 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. IN 1(6 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 13:00 AM-5:001"M(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 /> Q UNDERGROUND TANK(UST) Street 9 Straat Name City <br /> X CLEANUP SITE(LOP) \ ❑CONSUMER <br /> ®OTHER CLEANUP SITE(NON-LOP) 1 870 Dave Brubeck Way Stockton ,_V1 <br /> ®HAZARDOUS WASTE 1 DAIRY <br /> Q TIERED PERMITTED FACILITY 2 870 W Stadium Drive Stockton t_1` <br /> Q ASOVFGROUNO TANK <br /> MUST (MONITORING/REMOVAL) PWO <br /> Q HAZARDOU8 MATERIAL6 806 W Stadium Drive Stockton <br /> Q SPILL/RILEASE RESPONSE <br /> 7 SOLID WASTE FACILITY!VPHICLE d \ ATeq QUALITY <br /> W Stadium Drive Stockton N <br /> E]FOOD FAOILITY l <br /> ❑POOL/SPA \ Sne MITIGATION <br /> DAIRY B 828 W Stadium Drive Stocktont;�\V <br /> LAND USE APPLICATION SITES <br /> SEPTIC PUMPER TRUCK 1 �HOUSING <br /> YARD/CHEMICiAL TOILETS <br /> 678 W Stadium Drive Stockton <br /> F1 WASTEWATER TREATMENT PLANT p / CUPA <br /> QHOUSINGAAATEMENT 7 678 Dave Brubeck Way Stockton <br /> MOT@UHOTEL HW <br /> CHICKEN RANCH/DOG KENNEL �/' CUPA-UST <br /> MEDICAL WASTE FACILITY 8 676 W Stadium Drive Stockton J\[`/ <br /> n TATTOO/BODY PIERCING \ <br /> SOLID WASTE <br /> OwASTETIHE Ii 676 Dave Brubeck Way Stockton <br /> ©COMPLAINT J <br /> OTNER(PLEASE SPECIFY)( E]ACWUNTINF <br /> 102420 S California Street Stockton <br /> -HOMD AREA-ENO U E$ ONLY-' <br /> / 4 Y 1 .w„-1- eA0--'A '9 t , �u' . ��� ' «.�„� z tae”. <br /> W <br /> 0 Records provided by Staff-PPR Complete, staHNamc <br /> Received Time=Dec, 21. '2011' 8 : 09AM'No, 2769 <br />