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0310812018 09:41 i(i'iAX) P.0011001 <br /> DAT , EMCEIVED SAN .JOAQUIN COUNTY f I L = cury <br /> EMD LOG NUMBER <br /> MAR 0 8 2018 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web;www.sjgov,org/ehd /� <br /> ENV)RONAENTALHEALTH PUBLIC RECORDS RELEASE APPLICATION g it? t <br /> APPLICANT: Rebec'Whatal BUSINESS/AGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton, CA 95215 <br /> PHONE (1): 209-467-1006 PHONE (2):209-623-7200 FAX OR F-MAIL: rnataI2advgeoenv.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;N 39 EE(C HECK LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 03/08/2018 <br /> 1. List up to ten addresses In the space below. Select the ty e(s) ee from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. or mall to the address Indicated above. Address <br /> ranges will not be accepted.Appllcatlons 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. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List d Map—Description: <br /> Specific Date Range of Information Requested; From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> O UNDEROROUND TANK(UST) Street 9 Street Name city <br /> X CLEANUP SITE(LOP) 0' 1,I—LU,/ W,( CONBUpER <br /> x❑OTHER CLEANUP BITE(NON-LOP) 817 South Center Street Stockton <br /> M HAZARDOUS WASTQ <br /> p omaY <br /> O TIeRPD PGRMITTPO FACILITY 2 <br /> FXJ AEOVEGROUND TANK <br /> K❑UST (MONITORING/REMOVAL) ❑PWS <br /> X❑HAZARDOUS MATERIALS 3 <br /> S►ILURRLEASM RKSPONSE <br /> SOLID WASTF FACILITY I VPHICLF 4 ATER QUALITY <br /> FOOD FACILITY <br /> POOL/SPA SriE MITIGATION <br /> DAIRY 6 <br /> O LAND USE APPLICATION SITES <br /> SEPTIC PUMPER TRUCK/ ❑Housixo <br /> 8 <br /> YARD/CHEMICAL TOIL@T& <br /> WASTEWATER TREATMENT PLANT <br /> d CUPA <br /> HOUSING ABATEMENT 7 Njl; <br /> MOTEL/HOTEL Al IA\,,V <br /> CHICKEN RANCH I DOG KENNEL / Eff CU PA-UST <br /> I]MEDICAL WASYE FACILITY a <br /> TATTOOIBODY PIeRCINGMX / <br /> $OLIO WASTE <br /> WAsre TIRE <br /> ❑X COMPLAINT <br /> M OTHER(PLEASE SPECIFY): ACCCUNTIMo <br /> 10 <br /> ­BOXED AREA-EHD VSE ONLY— <br /> CONLY— <br /> ;T7�Ce . <br /> vl v .. P=_ <br /> Received TimelcMar. 8. at2018tI 9 : 04AMI- No, 3175 <br /> EHD 4646 <br />