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i■ 1 11 I UIZU I/ I a:10 (FAX) P.0011001 <br /> ■ <br /> ■� <br /> RECEIVIM EHD LOG NUMBER <br /> ■ ■ SAN JOAQUIN COUNTY <br /> ■ NOVENVIRONMENTAL HEALTH DEPAIL E <br /> NO1 0 ����` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> gkf-t•,E,r 'jPt,,A Telephone:(209)468-3420 Fax:(209)464-0138 Web:wvAv,sjgov,org/ehd <br /> XWi+10N&*m;rALFt PUBLIC RECORDS RELEASE APPLICATIONV1 1 <br /> APPLICANT: Rene Toth BUSINESS/AGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton, California 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): FAX OR E-MAIL: rtoth@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 /> ❑CHECK BOX TO EXPEDITE REQUEST-$139 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT`SA A ( ,,,1, DATE 11/10/2017 <br /> 1. List up to ten addressee In the apace be ow. Select the type(s)of files from the Ilet below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 209)464-0138 or mail to the address Indicated a eve, Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day, <br /> 2. For aeelstance 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 flv_e business days for review. Appointments <br /> should be scheduled accordingly. /sem <br /> 4. Any file not returned In the same condition as released will be-feorganlzed by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a WS deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8;00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List[] Map—Description: <br /> Specific Date Range of Information Requested; From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESSFILES EMD USE ONLY <br /> Q UNDERGROUND TANK(UST) Stroat 0 Stmet Name City <br /> CLEANUP SITE(LOP) �� ❑CONSUMER <br /> ®OTHER CLEANUP SITE(NON-L i 749 South Stanislaus St Stockton <br /> a HAZARDOVO WASTE ..\C- ❑DAU1V <br /> ❑TIERED PERMITTEDFACILITY Y 818 South Stanislaus St Stockton 1V <br /> IJ ABOvEGROUNO TANK <br /> QX UST (MONITORINQ/REMOVAL) ❑PWS <br /> ❑X HAZARDOUS MAT15MALS 3 <br /> X SPfLL/RELEASE RESPONSE <br /> a SOLID WASTE FACILITY/VEHICLE 4 ATQR QUALM <br /> FOOD FACILITY <br /> p POOL/,SPA $If{Ir1iTiGAT10N <br /> DAIRY n <br /> Q LAND USE APPLICATION SITED <br /> SEPTIC PUMPER TRUCK/ ❑HOUSING <br /> 6 <br /> YARD/CHEMICAL TOILETS <br /> Q WASTEWATER TREATMENT PLANT / <br /> CUPA <br /> 71 HOUSING ABATEMENT y S\ <br /> MOTEUHOTEL !�Nlivv <br /> Q CHICKEN RANCH/DOG KENNEL ISKCUPA-UST <br /> r7 MEDICAL WASTE FACILITY S <br /> TATTOCIGODY PIERCING <br /> WASTE TIRE \ ID WAr! <br /> ©COMPLAINT <br /> OTHER(PLEASE SPECIFY): I-T <br /> V ACCOUNTING <br /> �0 <br /> TO -BOXED ARE .EHD USE ONLY- <br /> 1 -1��t 1^ et .""C;O (D✓t .,/✓\' mcg of- J1�G�tr, c�� et CAI) t^e.,��e C, stn,\ �1 <br /> 0 Records provided by Staff-PPR Complete. StaeNoma! <br /> Received Time—Nov, 10, -2017— 2:43PM—No, 2576 <br />