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■; 07/17/2017 14:05 (FAX) P.0011001 <br /> . . RE {VES <br /> � ■ DATE REC IV D SAN N COUNTY EHD LOG NUMBER <br /> ,f <br /> (�[, '� 7 2011 ENVIRONMENTALTAL HEALTH DEPARTMENT <br /> 1868 East East Hazelton Avenue, Stockton, CA 95205.6232 !�V <br /> • QN �1-�F Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PEfWI-rZEMCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rene Toth BUSINESS/AGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATEI2:IP:Stockton, California 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): FAX OR E-MAIL: 209-467-1118 <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 EXPEDIT (3EQ EST- 13 F E(CA H/ RftONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT () ~� / ► DATE 07/17/2017 <br /> 1. Llet uo to tan addresses In the tic o I t h typ a) fl from the list below by checking the appropriate <br /> box(ea). At leant one file type MUST be selected. Fax to(2091464-0138 or mall to the address Indicated above. Address <br /> ranges will not be accepted.Application received atter 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 flies 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 eame 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$139 deposit prior to review. `7,`'25 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM•5:00PM(EXCLUDING HOLIDAY$) <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 /> N UNDERORCIIND TANK(UST) street* Street Name city <br /> • CLEANUP SITE(LOP) tockton 1— rl? ❑CO....9. <br /> MX OTHER CLEANUP SITE(NON-LOP) <br /> 4025 Coronado Avenue S <br /> 0HAZARDOUS WASTE DAIRY <br /> IJpI TIERED PERMITTED FACILITY 4033 Coronado Avenue Stockton <br /> ©ABOVEGROUND TANK <br /> Q UST (MONITORING I REMOVAL) D� 0 PWS <br /> a HAl RDOUS MATERIALS L 3807 Coronado Avenue Stockton <br /> ©SPILURELEABE RESPONSE <br /> L]SOLID WASTE FACILITY/VRI NILE C WATER OUAIITY <br /> 4119 Coronado Avnut Stockton <br /> ❑iooD FACIMTY <br /> ❑POOL/SPA SRE MmoATION <br /> ❑DAIRY G <br /> O UND USE APPLICATION SITES <br /> ❑SEPTIC PUMPER TRUCK/ ❑HGusINo <br /> 6 <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTENATER TREATMENT PLANT CLIPA <br /> ❑HOUSINGABATMAENT r <br /> ❑MOTEVHOTEL <br /> n CHICKEN RANCH 1 DOG KENNEL CUPA.UST <br /> ❑MEDICAL WASTE FACILITY = <br /> ❑TATTOOMODY PIERCING <br /> 0110 W. <br /> ®WASTE TIRE <br /> s <br /> ©COMPLAINT <br /> ❑OTHERIPLEASe SPECIFY)! ACCyVM1NV <br /> 10 <br /> • •"BO%eD A.eEG-EHD❑9E OaLY^ <br /> ❑ Records provided by StaWPPR Complete. sr ffName: <br /> Received TITe=Jul, 11. -2011' 1 : 37PNFNo. 1902 <br />