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Em 1012812015 09:02 _ P.0011001 <br /> low [] / D <br /> EHD LOQ NUMBER <br /> SAN JOAQUIN COUNTY <br /> OCT 2 s 2015 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> phone, (209)468-3420 Fax: (209)464-0138 Web:www.sjgov,org/ehd <br /> ENVIRONMENTALHEAL�t�le <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT- Jennifer Berjiklan BUS INESSIAGENCYAdvanced Geo Environmental <br /> ADDRESS, 837 Shaw Road CITYISTATEMP., Stockton,CA 95215 <br /> PHONE(1): 209-487-1006 PHONE(2): 209-483-3401 FACSIMILE:209A67-1118 <br /> please allow'10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑CHECK BOX TO EXPEDITEREQUE CASH OR CHECK ONLY)-REQUEST PROCESSED IN INESS DAYS <br /> SIGNATURE OF APPLICANT DATE t1 <br /> Electronic Information: ❑ LlsE Map--Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Nemo City <br /> 825 Navy Drive z J-ra Stockton " i FF <br /> 2. 1137 South Stockton Street H•�LiO//ACf Stockton —IJ' Unit 1 <br /> 240 Navy Drive L(7 O�Y�c�t Stockton - ti v---r ;W q J�� A ❑Unit 2 <br /> 1145 West Charter Way 4� R Stockton 3 �� Unit 2H <br /> ,, 939 West Charter Way Stockton r_ <br /> Cs. n1t 3 <br /> dft 7. ('Unit 4 <br /> 8, MI&MI71GATION <br /> s. <br /> 1 Lo Ju if y <br /> I <br /> 10. ) nit 5 <br /> Specific Date Range of Information Requested: From to <br /> bzo <br /> ENVIRONMElZYNOWA91ATESIENT <br /> H DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) STE FACILITYOLID WASTE FACiLnYIVEHICLE <br /> UYTHERCLEANUP SITE(NON-LOP) [ IA6Tt:TIRE <br /> NDERGROUND TANK(MONITORINOIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> �VEGROUND TANK ❑CHICKEN RANCH!OoG KENNEL ❑WASTEWATER TREATME NT PLANT <br /> AiARDOUS WASTEIHA7ARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCK/YARDiCHEMICAL TOILETS <br /> ❑TiERED PERMITTED FACILITY ❑PeOUSPA ❑LAND UsAPPLICATION SITES <br /> ❑TATTOOIBODY PIERCING KrCOMPLAINTiRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLANDSEPTIC PERMiTRECORDS ARE AVAILABLE FOR REVIEVV: MONDAY-FRIDAY B:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. Hat uo to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriata <br /> box(es). At least one file type MUST be selected. Fax to 42091454-0138 or mall to the addrea$Indicated above, Address <br /> ranges will not be accepted.Applications received after 3:00 pm wlll 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. Tho EHD will notify tho applicant if any END files exist. An appointment for review will be confirmed approximately ten(10) <br /> days atter receipt of application. The files will be hold for a maximum of five businass 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 Gama applicant may require a$130 deposit prior to review. ""sQXFD AREA-EHD USE ONLY"~ <br /> p Records provided by Staff-PPR Complete.Staff Name: <br /> ens aH-oe M115 <br /> Received Time Oct. 28. 2015 8:54AM No. 9891 <br />