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08/16/2017 12:29 (FAX) P-0011002 <br /> MEN D L�'I VE O EHD LOG NUMBER <br /> �■ SAN JOAQUIN COUNTY <br /> %E AUG 16 2DI7 ENVIRONMENTAL HEALTH DE "sMir <br /> 1868 East Hazelton Avenue,Stockton, 3 Telephone: (208)468-3420 Fax: 209 464-0138TerJo12WR F ( ) Jg o%�d <br /> �" PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnviron mental, Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:-Stockton, CA 95215 <br /> PHONE (1): 209-467-1006 PHONE(2):209-623-7200 FAX OR E-MAIL: rnata1@advgeOenv.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 /> ❑ CHECK BOX TO EXPEDITE REQUEST-$139 FEE( H O C ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 08/16/2017 <br /> I. Ligt up to ten addresses In the space below. Se ec the pe s) fie m the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax - all to the s 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 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 same condition as released will be reorganized by EHD staff at the expense of the applicant. a <br /> Future file reviews by the some applicant may require a$139 deposit prior to review. l � <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Flange of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> LESEHD USE ONLY <br /> Q UNDFINCROUNO TANK(UST) Street 4 Street Name city <br /> CLEANUP SITE(LOP) [3 CONSUMER <br /> ®OTHER CLEANUP SITE(NON-LOP) ' 1002 North Broadway Ave Stockton <br /> ®HAZARDOUS WASTe <br /> QX TISRfiD PGRMI7THD FACILITY y [1 DAIRY <br /> Q ADUVUQROVND TANK <br /> MUST (MONITORING/REMOVAL) ❑PWS <br /> ®HAZARDOUS MATERIALS 3 FRE GUY <br /> ©SPILLIRELEASE RESPONSE <br /> F1 SOLID WASTE FACILITY/VEHICLE 4 M'WATFA QUALITY <br /> F]FOOD FACILITY <br /> C POOL/SPA ©RITE MmaaTION <br /> DAIRY e <br /> LAND USF APPLICATION SITES <br /> SFPTIC PUMPER TRUCK J 0 HCUSINO_ <br /> e <br /> YARD/CHFMICAL TOILETS + V � <br /> WASTEWATER TREATMENT PLANT <br /> ❑HOUSING ADATFMPNT 7 <br /> rm CUPA <br /> rj MOTFUHOTEL <br /> CHICKEN RANCH/DOG KENNELCUPA-UST <br /> MEDICAL WASTE FACILITY <br /> TATTODA30DY PIERCING 'l <br /> FR wAsra TIRE SOLID WASTE <br /> 9 <br /> COMPLAINT <br /> OTHER(PLEASE SPECIFY): <br /> ,D ❑ACCOUNTING <br /> ""20XE0 AREA•EHD U8E Q,�-� <br /> Received Time-Au, 16. -2011-11 : 59AM—No, 2109 <br /> ar �v4vua NLVVidt1Uii owfi-rrk LvmVit[e. suttName: <br />