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10124/2014 08:22 (FAX) P.0011001 <br /> ■ <br /> I ■ <br /> ■ <br /> �■ DATE RECEIVED EHD LUG NUMBER <br /> I� ,. SAN JOAQUIN COUNTY <br /> AD <br /> '` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> A\ <br /> �}�1 2i 4 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov•org/ehd <br /> �fiIVIRBN�ll�NTALV��..���E=1 ri <br /> � � �� �=: ,, i� <br /> Pi=4M1TI5OV1t <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Jennifer Berjikian 13USINESSIAGENCY:Advanced GeoEnviron mental <br /> ADDRESS: 837 North Shaw Road CITY/STATE/ZIP: Stockton, CA <br /> PHONE(1): (209)467-1006 PHONE(2):(209)483-3401 FACSIMILE: (209)467-1118 <br /> TENTATIVE"APPOINTMENT DATE: ASAp Time: <br /> (Please allow 10 business days from date of application submittal-•Tontstive only-must be co rrne ) <br /> ❑ CHECK BOX TO EXPEDITE OU $125 FEE OR CHECK ONLY)-REQUEST PROCESSED IN �U Y <br /> SIGNATURE OF APPLIC DATE <br /> Electronic information: Map—Description: <br /> FILE ADDRESS a���EHD USE ONLY <br /> Street# Street Name City & 1 Unit 1 <br /> [2. <br /> 400 Newton Road Stockton 3516 Newton Road Stockton I> 0Unit 2 <br /> 3. 3535 Cherokee Road Stockton <br /> 4. 3655 East Cherokee Road Stockton L I C� �� : nit 3 <br /> 6. B-Unit 4 <br /> 7. <br /> 8. 0 Unit s <br /> Unit e <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES c' <br /> xlUNDERGROUNDTANK(UST)CLEANUPSITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SrTE(NON-LOP) ❑FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVA0 ❑DOG KENNEL Q DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMEW PLANT <br /> Q TIERED PERMITTED FACILITY ❑M0711HOTEL ❑PUMPERTRUCKNARDICHEMICALTOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA ❑Q LAND USE APPLICATION SITES <br /> ❑ MMCALWASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERNUT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8.100 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Eax to(2091464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day, <br /> 2. 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 fire business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file is available. <br /> 4. Any file not retumed 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$125 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 4" 8It/11 <br /> Received Time Oct. 24, 2014 8: 04AM No- 7401 <br />