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■ 1012812015 09:02 -- O P.0011001 <br /> i■ <br /> ■ <br /> I ■ <br /> �■ �'—% �W E DEHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> OCT 2 8 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTAL HEALTA'aph one., (209)46B-3420 Fax: (209)464-0138 Web: www.sjgov.orglehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Berjlklan BUSINESS/AGENCY:Advanced Geo Environmental <br /> ADDRESS: 837 Shaw Road CITY/STATE(ZIP: Stockton, CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209A83-3401 FACSIMILE:209A67-1118 <br /> Please allow 10 business days from date of applicadon 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 REQIJESnTPTFS4CASH OR CHECK ONLY)-REQUEST PROCESSED IN INE SS BAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ Lle Map—Description: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street 0 Street Name City <br /> 825 Navy Drive Stockton I r <br /> 2. 1137 South Stockton Street LI.--?L[O/Ac f Stockton 'I Fr Unit 1 <br /> 1240 Navy Drive Q7 0/ Gt z Stockton - -VIA ❑Unit 2 <br /> 1145 West Charter Way cid (7 Stockton tj 0 Unit 2H (/ <br /> 5, 939 West Charter Way f Stockton ��I�J <br /> 6. nit 3 <br /> 7. tib.'Unit 4 <br /> L. 1.1 ITIGATION <br /> 10. 7 nit is <br /> L <br /> Specific bate Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILrrY LID WASTE FACILITYNEHICLE <br /> �THER CLEANUP SITE(NON-LOP) ElHOUsiNo ABATEMENT 91ASTETIRE <br /> NDEROROUND TANK(MONITORING/REMOVAL) ElFDOD FACILITY El DAIRY <br /> VEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> A7-ARDOUSWASTEiHAZARDOU8MATERIALS ❑MOTEIIHOTEL (].PUMPER TRUCKiYARDICHEMICALTOILETS <br /> ❑TiERED PERMITTED FACILITY ❑61./SPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOolaoDY PIERCING [VCOMPLAINTiRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMiTRECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> I. Ust ua to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriats <br /> box(es). At least one file type MUST be selected. Fax t4(209)4W130 or mall t4 the address Indlcated above,_ Address <br /> ranges will not be accepted.Appllcations 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. Tho EHD will notify tho applicant if any EHD INIes exist. An appointment for review will be confirmed approximately ten(10) <br /> days atter reaelpt of application. The files will be held for a maximum of five businass 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$130 deposit prior to review. "*BOXED AREA-EHD U$E QNLY*" <br /> p Records provided by Staff-PPR Complete.staff Name: <br /> EHD 4D-08 71117 6 <br /> Received Time Oct, 28. 2017 8:54AM i,o, 9891 <br />