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0711712017 14:05 (FAX) P.0011001 <br /> i� <br /> won <br /> DATE REC IVED�, SAN EHD LOG NUMBER <br /> ,1U � 7 2��f ENVIRONMENTALTAL HEALTH COUNTY EAA LTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205.6232 i/V <br /> • N yfl�F q�y Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PEfI1111A1-176EWCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rene Toth BUSINESS/AGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS; 837 Shaw Road CITY/STATE/ZIP: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 dale 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 (SEC• EST17 13 F E(CA H/�RIyt1EC�1(ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> 1. L et uo toGNATURE ten addressee ICANT ssee In the t 1 Y 11 f fiF DATE 07ng the 17 <br /> ��o . I�I�t h typ a) fl from the list below by checking the appropriate <br /> box(sa). At least one fits type MUST be selected. Fax to(209)464-0138 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 fllea 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 Ove 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$139 deposit prior to review. f`�zS <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM•5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> O UN OEROR0JN0TANK(U3T) Street# Street Name city <br /> • CLEANUP SITE(LOP) t 11h (PNsuuln <br /> ❑% OTHER CLEANUP SUE(NON-LOP) ' 4025 Coronado Avenue Stockton <br /> x❑HAZARDOUS WASTE DA,Ry <br /> ®TIERED PERMITTED FACILITT r 4033 Coronado Avenue Stockton <br /> ®ABOVEDROUNU TANK <br /> ❑x UST (MONITORING I REMOVAL) e� 0 PWS <br /> I]HAZARDOUS MATERIALS A 3807 Coronado Avenue Stockton <br /> ©SPILLIRELEASE RESPONSE <br /> 1 I I i1 wLTER DUALITY <br /> SOLID WASTE FACILITY/VEHICLE A <br /> 4119 Coronado Avnue Stockton ` <br /> rl FWD PACIDTY <br /> ❑POOL/$PA SDE MITM71ON <br /> ❑DAIRV <br /> ©LAND USE APPLICATION SITED <br /> ❑SEPTIC PUMPER TRUCK HouaINO <br /> 6 <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTEWATER TREATMENT PLANT C'UPA <br /> ❑HOUSINGABATEMENT T <br /> ❑MOTEL/HOTEL <br /> CMDKEN RANCH/DDC KENNEL COPA UST <br /> MEOICAL WASE FACILITY S <br /> p TATTOO/aODY PIERCIND <br /> ©WASTE TIRE OUD Y/AaIE <br /> e <br /> ©COMPLAINT <br /> OTNERIPLEASE$PECIP'I' ACCOVNrw <br /> 10 <br /> • '^60XED AREA-EHM UAE ONLY`^ <br /> - i P' <br /> ❑ Records provided by Staff.PPR Complete. suffMum: <br /> Received Time'Jul, 17, -2017- 1 : 37W_-No. 1902 <br />