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s A. 12/1712014 10:39 (FAX) P.0011001 <br /> EHD LOG iJUMOER <br /> yt3„ DATE RECEIVED SAN JOAQUIN COUN IY <br /> s :t <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> ' 1868 East Hazelton Avenue, Stockton, CA 9520-9-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: %nrwvv.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLIGA,riON <br /> APPLiCANT.-Jennifer Berjikian BUSINESSiAGENCY:Advanced GeoEnvironmental <br /> ADDRESS: 837 North Shaw Road _ CITY/STATErLIP: Stockton, CA <br /> PHONE (1): (209)467-1006-_- _-- PHONE (2):(209)483-340.1 FACSIMILE: (209)467-1118 <br /> TENTATIVE'APPOINTMENT DATE: ACAp Time: <br /> (Plosse allow 10 business days from data of appllcation aubmlttal-'S'entative only-must bo Confirmed) <br /> ❑ CHECK BOX TO E:XPEDiTE R U T-$126 F F(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSiNrESS DAYS <br /> SIGNATURE OF APPLICAI�IT" .. DATE <br /> Electronic Information: ❑ List❑ Map— Description: <br /> FILE ADDRESS EI-lb USE ONLY �/ <br /> Street# Street Name City L unit 1 <br /> 1. 4215 North Pershing Avenue Stockton <br /> 2. 1700 South EI Dorado Street Stockton ( "'� `unit2 <br /> 3 <br /> 4. 'Unit 3 <br /> 5. <br /> unIt4 <br /> 7. <br /> 8• Unit 6 <br /> g. <br /> 10. T Unit 6 <br /> a.^wI!'.1D4.•'.�,.t45;Z:�'�r>E'i•'.AV:. �J Y'+iF:•., .. e.�...y. -'��lf-_.3 _ ., .-�^i::'f^�£.E:A'i._.i.: <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENTX❑SOLID WASTE FACILITY(UEICLE <br /> Q OTHER CLEANUP SITE(NON-LOP) ❑Foon FACILITY WASTE TIRE <br /> a UNDERGRGuND TANK(MONITOP.INGIREMOVAL) ❑DOG KENNEL DAIRY <br /> ❑HAZARDOUS WASTE GENERATOR CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> x❑TIERED PERMITTED FACILITY ❑MOTELiHOT€L Q PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOL/SPA LAND USE APPLICATION SiTES <br /> ❑ MEDICAL WASTE FACILITY ®COMPLAINT RECORDS ®OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten ddre§sce in the space above. Select the type(a) of filoa from the list above by checking the appropriate <br /> box(ea). At least one file type MUST be aelected. Fax to(290 4q4-0136 or mall to the addrgrc Indlcatad ova. Addresu <br /> ranges will not be accepted-for additional aaslatance with ille addrest:ets, contact the EHD. Applicatlon6 received aft7r <br /> 3:00 pm will be proceaaed the next buainanG day. <br /> 2. The EHD will notify the applicant If any EHD fllec exist. An r ppointment for revlew,.vlli Ise confirmed npprox1motely ten(q0) <br /> dGys after receipt of application. The files will be held for n maximum of five buniness d-ayrs for review. Appolntntent_w <br /> should be scheduled accordingly. <br /> 3. A fila that is activoIy being work9Cl on by EHD$0,tr rl,.;Rv nc•t wcj IninleciiAtely�Vallable for A,n;;:•.,duf;Rcatlon rn,?,, be <br /> submittA when the filo is available. <br /> 4, Any filo not returned in tha samo condition at; rulo;xed will b�j reorganized by EHD utafi at lha o:'p•,nzu of tha zpplicz-Int, <br /> !'uti rs "Ic r�vle1✓, by tho:,ame applicant, na," require n $12:i dc;iso..it prior to , vr. <br /> END USE ONLY <br /> Received T: rie-Dec, 17. _2014_10: 18AM_No. 7129_ <br />