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. a <br /> ■ Advanced Geyoo""E��n��a�iprro�ii FFa9px�(70077)570--11446681 To:2094640139@rcraz.con Fa.: +12094640138 Page 1 or 1 03131120164:05 PM <br /> 12 1 Z F E 'md'F tl 6f EGA.® SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> 4N[ ENVIRONMENTAL HEALTH DEPARTMENT g3pq <br /> � � APR 01 2010 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> & <br /> RONMENTAL HEALTh1 <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Berjikian BUSINESSIAGENCY:AdvancedGeoEnvironmental <br /> ADDRESS: 3335 East Miraloma Avenue CITY/STATE/ZIP:Anaheim, CA 62806 <br /> PHONE(1): 800-511-9300 PHONE (2):209-483-3401 FAX OR E-MAIL:jberjikian@advgeoenv.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contactyou to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)- REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 03/31/2016 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street# Street Name City <br /> 1. 686 East Lockford Lodi <br /> 2 E3Unit 1 <br /> 900 1/2 East Victor Road Lodi <br /> 3. 930 East Victor Road Lodi Unit 2 <br /> 4. 1220 _ East Victor Road Lodi E Unit 2H <br /> 5. 687 East Lockford Street Lodi unit 3 1` <br /> 681 East Lockford Street Lodi nit 3HM <br /> 925 South Victor Street Lodi [:1Unit 4 <br /> $' <br /> ,0,50E1yt Loc,1<0VA L44t SITE MITIGATION <br /> 9. 62 I I <br /> 10. W� ❑ Unit 5 <br /> Specific Date Range oflnformationRequested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MOTELIHOTEL ❑SOLID WASTE FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑FOOD FACILITY <br /> X❑UNDERGROUND TANK(MONITORINGIREMOVAL) ❑WASTE TIRE ❑DAIRY,POOLISPA <br /> X❑ABOVEGROUND TANK ❑CHICKEN RANCH(DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> I]HAZARDOUS WASTE ❑MEDICAL WASTE FACILITY ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> X❑HAZARDOUS MATERIALS ❑TATTOOIBODY PIERCING ❑LAND USE APPLICATION SITES <br /> ❑TIERED PERMITTED FACILITY ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAYS:00 Ard.5:OOPM(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)464-0136 or mall 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. <br /> '"'BOXED AREA-EHD USE ONLY"' <br /> 7Rneceived <br /> Records,provided by Staff-PP olete. Staff Name: <br /> Time=Mar, 31, -2016t' 4: 05P o. 0645 <br />