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�m v ����� a.d�� ■ kr�1 r.uulluul <br /> Mo <br /> m DA'f t RECEIVED !� 1��,,P <br /> ■ 1 SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> IMAR 3-- 2017 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 F-75'E3 <br /> K01i'i 1.FtEAiJH-phone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PERMIT/SE1T�'E3 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal 13USINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATF./ZIP; Stockton CA 95215 <br /> PHONE (1): _209467.1006 PHONE (2):-209-623-7200 FAX OR EMAIL: .249-467-1118 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records, <br /> ❑ CHECK BOX TO EXPED17E REQUEST-$139 FEE(CASH CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 5/61 r 1'1 <br /> I. list up to ten addresses Int the space belo el ct a typ (s)of files from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464.0936 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 exIaL 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$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 PILE ADDRESSFILEHD USE ONLY <br /> UNDERGROUND TANK(UST) Street V Street Name City <br /> C4EANUP SITE(L0P) /'L El CONSUMER <br /> �THER CLEANUP SITE(NON-LOP) ' 475 Moffat Blvd Manteca . y`j <br /> VHALIRDOU9 WASTE — I,j <br /> r\ DAIRY <br /> TIERED PERMITTED FACILITY V.� 2 <br /> ©ATI466 Moffat Blvd Manteca <br /> 9OVEORDum TANK <br /> t©VST (MONITOPJNG/REMOVAL) (,5J OGY)/7Ll r/ , ❑ME <br /> H oOUS MATERIALS 469 Moffat Blvd jViQnteca 3PILURELEABE RESPONSEQUALITY <br /> SOLID WASTE FACILITY/VEHICLE 430 Moffat Blvd rk I l k'3G Manteca4 I�FOOD FACILITY & �� O1,( (,V ... <br /> POOL/BPA � SITE MiTioATIoN <br /> F]DAIRY L 392 Moffat Blvd Manteca <br /> [g'LAND USE APPLICATION SITES a7 1 <br /> I]SEPTIC PUMPER TRUCK I ❑HOU61N0 <br /> e I J �` J11 J <br /> YARD I CHEMICAL TOILETS <br /> WASTEWATER TREATMENT PLANT l \4f/ VF1, CUPA <br /> F]HOUSING ABATEMEM 7 , <br /> MOTEL/HOTEL <br /> ©CHICKEN RANCH/DCO KENNEL CUPA-uST <br /> MEDICAL WASTE FACILITY 9 <br /> TATTOO/BODY PIERCING <br /> WASTE TIRE ❑SOLID WASTE <br /> 0 <br /> C .FL,A.NT <br /> F]OTHER(PLEABE SPECIFY); AccouNTINO <br /> 10 <br /> ­R0XFQ AREA-EHD 118E ONLY"' <br /> r , <br /> R ceived Trmev;Mar,�31,;a2017R 8 ;55AN No, 1129 <br />