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U I NRECEIEnvironmental Health Department <br /> INRs h COUNTYPUBLIC RECORDS RELEASE APPLICATION <br /> APR 6 9 2M6 <br /> .•'��� `4• �rrpptR�'SS CrOtrS herl. <br /> • 'y:f _ ENVIRONMEN TEFF JTRMAIL <br /> R EHD LOG NUMBER:13$330 <br /> APPLICANT: Rebecca Natal BUSINESSIAGENCY:Advanced GeoEnvironmental,Inc. <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP:Slockton/CAI 95242 <br /> PHONE(1): 209-467-1006 PHONE(2):209-623-7200 FAX OR E-MAIL: rnatala@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 /> SIGNATURE OF APPLICANT zi_t, ,. M,1. DATE 4-6.218 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138, mail to the <br /> address indicated below, or email to info(aDsicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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$152 deposit prior to review. 9l7 <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 FILE ADDRESS <br /> HEALTH DEPARTMENT p y 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses only, address ranges will not be acce ied <br /> I] underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) CONSUMER <br /> QOther Cleanup Site(Non-LOP) t 3001 Navone Rd Stockton <br /> Q Hazardous Waste h{r'' L]DAIRY <br /> Q Tiered Permitted Facility z 2908 Bozzano Rd Stockton ""A <br /> ❑X Aboveground Tank <br /> ❑X UST (Monitoring 1 Removal) El <br /> Hazardous Materials P <br /> 3 2881 Navone Rd Stockton t�s <br /> RX <br /> ❑X Spill 1 Release Response "k <br /> WA ER QUAIIT' <br /> Solid Waste Facility 1 Vehicle 4 3301 <br /> F] Food Facility Navone Rd Stockton <br /> ❑ Poo!I spa 5 IrlcazloN <br /> R Dairy 5 <br /> X❑ Land Use Application Sites <br /> HOUSING <br /> ❑Septic Pumper Truck 1 6 <br /> Yard/Chemical Toilets <br /> X�wastewater Treatment Plant NrCUPA <br /> Ej Housing Abatement 7 AST f HM!HW <br /> R MotellHotel <br /> R Chicken Ranch!Dog Kennel lu(CUPA <br /> 8 UST <br /> Medical Waste Facility <br /> Tattool6edy Piercing SOLID WASTE <br /> 0 waste Tire g <br /> IX Complaint <br /> Other(Please Specify): AcCOUrmNG <br /> 10 <br /> —BOXED AREA-EHD USE ONLY— r <br /> © Records provided by Staff-PPR Complete. Staff Name: EHD48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464--0138 } www.sjcehd.com <br />