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TAA) F.UUzIuu'd <br /> ED <br /> V EHD LOG NUMBER <br /> SAN JOAC!UIN COUNTY <br /> 'JUN,, 16 611 0"'IV ENVIRONMENTAL HEALTH DEPARTMENT 111 5- _^ <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 ry 1v <br /> RgVI"tuMALH cFALFH Telephone: (209)468-3420 Fox: (209)464-0138 Web; www.sjgov.org/ehd <br /> • PEMMIT/SERiACES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT; Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITYISTATE/ZIP:Stockton, CA 95215 <br /> PHONE(1): 209-467-1006 PHONE (2):20923-7200 FAX OR E-MAIL; rnatalaadvgeoenv.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 F CAS OR H CK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT .Q� DATE <br /> 1, List up to ten addresses In the space below. Select the type(s) of files from the list below by checking the appropriate <br /> box(es). At least one file 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 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 $139 deposit prior to review. r <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:OOPM(EXCLUDING HOLIDAYS) ( �f <br /> Electronic Information: ❑ List❑ Map- Description: <br /> Specific Date Range of Information Requested; From 2014 to Current <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESSFILES EHD USE ONLY <br /> Q UNDERGROUND TANK(USTI Street Street Name City <br /> CLEANUP SITE(LOP) lop ❑DONSUUlR <br /> Q OTHER CLEANUP SITE(NCN•LOP) ' 2360 East Street Tracy <br /> ©HAZARDOUS WASTE ❑DNRY <br /> ©TIERED PERMITTED FACILITY 2 <br /> ©ABOVEGROUND TANK <br /> O UST (MONITORING Z REMOVAL) ❑PWS <br /> O HAZARDOUS MATERIALS 9 <br /> IID SPILLIRELEASE RESPONSE <br /> ❑SOLID WASTE FACILITY f VEHICLE i I f1 �/3 �� A7ER OUALIr•' <br /> ❑FOOD FACILITY <br /> ll POOL I SPA V.1/ ���/Si�i[MinannoN <br /> ❑DAIRY 6 <br /> O LAND USE APPLICATION SITES <br /> ❑SEPTIC PUMPER TRUCK/ 11HODBINa <br /> B <br /> YARD CHEMICAL TOILETS <br /> ❑WASTEWATERTR!ATMENT PLANT COPA <br /> ❑HOUSING ABATEMENT T <br /> ❑MOTEIfHOTEL <br /> ❑CHICKEN RANCH I DOG KENNEL CUPA•UST <br /> ❑MEDICAL WASTE FACILITY a <br /> ❑TATT001BODY PIERCING <br /> WASTE TUE ouD WAeTe <br /> �I a <br /> I^J CCNPLAINT <br /> OTHER(PLEASE SPECK/): ACGOVNTIMO <br /> 1D <br /> p 1 —BOXED AREA•EHD USE ONLY— <br /> (;'(�`I 11 f+ M '� tC'� ✓� (�.�0 w� !� ')a iS Lrc'l+nV nIOL •� / <br /> Received Tlmelchn, 16, 4017t1 4: 18PM. No, 1706 <br /> ..n AASR <br />