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RECEIVED - <br /> SAN JOAQUIN COUNTY f I L E XLRI-R <br /> Y JAN 1 '.2017 ENVIRONMENTAL HEALTH DEPARTMENT <br /> ■� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> EJViRQ.NhlIEl+fTAL M1111-11'1 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www,sjgov.org/ehd 5912. <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Heidi Heggeness <br /> ADDRESS; 1827 Capital Street, Suite 103 BUSINESS/AGENCY.- Ardent Environmental Group, Inc. <br /> PHONE1 ; 36 CITY/STATE/ZIP: Corona/CA/92880 <br /> ( ) PHONE(2): 5 49 FAX OR E-MAIL: hheggeness@ardentenv.com <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 /> CHSCK;ebk:•TO EXPW(T ;R C7UES1 ag13 E5(CA'SH Oft•.CHECk ONLY)•=�REQlJES7 PROCESSED IN 3'SUSINESS DABS <br /> SIGNATURE OF APPLICANT ---� � 1/11/17 <br /> 1. st u tcZten addresses in the space beiow. Select the DATE <br /> box(os). At(east one file type MUST be selected. types)of files from the Ilat below by checking the appropriate <br /> to_(209►464.4138 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 EMD 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 he 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 1900 to 20 <br /> 17 <br /> ENVIRONMENTAL <br /> ALAL` 4bePAIZ,TMEW FILE ADDRESS <br /> PiLt=§ EHD USE ONLY <br /> UNDERGROUND TANK(UST) Street 0 Street Name City <br /> LEnNVP SITE(LOP) <br /> THER CLEANUP SITE(NON-LOP) 1 1627 Army Court Stockton ❑c°Na°'AER <br /> ZARDOUS WASTE <br /> TIERFD PERMITTED FACILITY []DAInY <br /> OVEOROUND TANK <br /> i(23 <br /> ST(MONITORING/REMOVAL) ❑PWS <br /> A7ARDOUS MATURIALa <br /> PILL/RELEAR RESPONAF- <br /> SOLID WASTC FACILITY/WHICLE 4 WATCR OUALrtv <br /> Fj FOOD FACILITY <br /> POOL/SPA <br /> DWRY $ (r�SITf MITIGATION <br /> rl LAND USE APPLICATION SITEH <br /> SEPTIC PUMPER TRUCK/ ❑HOU81W <br /> e <br /> ARD/CHEMICAL TOILET6 <br /> WASTEWATER TRCATMENT PLANT <br /> HOUSING AEIATEMENT 7 CUPA <br /> MOTEUMOT11 <br /> CHICKEN RANCH/Due KENNEL / <br /> MEDICAL <br /> WASTE FACILITY 8 <br /> CUPA-UST <br /> Q TATTco/BODY PIERCING ee11 <br /> rj WAATF,TIRE - SOLID WASTE <br /> `COMPLAINT i ( �/, <br /> OTHrA(PLEA6f SPECIFY): / <br /> 10 ❑ACCOUNTING <br /> 1130np9Hl!l�EMD <br /> AA *304 AVO� <br /> r r <br /> aO Records ovl ed by Staff-PPR Complete. Staff NRmo: <br /> EMD 4A-06 <br /> Received Time Jan, 11. 2017' :50PM 110669 <br />