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MEM 03120/2017 11:50 (FAX) P.0011001 <br /> ••• RECEIVED <br /> M DATE RECEIVED SAN EHD LOO NUMBER <br /> MAR 2 9 201? ENVIRONMENTALTAL HEALTH COUNTY LTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • VfIIV1RON� <br /> NWALFMTftlephone:(209)468-3420 Fax: (209)464-0138 Web:www,sjgov.org/ehd 5 oq <br /> PEWIT1SER?ffVO PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rene Toth BUSINESS/AGENCY: Advanced GeoEnvlronmental <br /> ADDRESS: 837 Shaw Road CITY/STATErzIP: Stockton CA 95215 <br /> PHONG(1): (209)467-1006 PHONE(2): (?09)483-3401 FAX OR E-MAIL: <br /> Please allow 10 business days from date of application submittal for the records to be avalla Is. <br /> Staff will contact you to arrange an appointment date and time to review the repuastod records. <br /> ❑ CHECK BOX TO EXPEDI REQ -x$13 FEE b CHECK ONLY)-REQUEST PROCESSED IN 3 USINE9 DAYS <br /> SIGNATURE OF APPLICANT I I A DATE <br /> 1. List un to len addresses In theep o Select ie e t files from the list below by checkln the ap roprlato <br /> box(ss). At least one file type NJSi Tse selected. Fax to(2091484.0138 or mall to the address Indicated above, Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance In IdenUfying 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 appllcadon. 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 END ataff 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•5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Informatlon: ❑ List ❑ Ma —Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EH® USE ONLY <br /> • UNDERGROUNDTANK(UST) Street M Street Name city <br /> X CLEANUP SITE(LOP) D Comsu.m <br /> OTHER CLEANUP SIM(Nom-LOP) 2760 East Fremont Street Stockton ktL-- 3�Z� <br /> mil HAZARDOUS WASTE ❑Duey <br /> F-1 TIERED PEAMirm FACILITY Y 2800 East Fremont Street Stockton `W <br /> I41 AUDvEGRCUND TANK <br /> UST (MONITORING I REMOVAL) La repyf4' Cl PWB <br /> r31 HAZARDOUS MATERIALS , 2804 East Fremont Street Stockton <br /> YY <br /> SPILIIRELEASE REEPDNSE <br /> p� _ �'W.ftA QUAUIY <br /> X]SOLID WASTE FACIUTY I VEHICLE . 28101 East Fremont Street Stockton uN <br /> ❑FoDD FACILITY <br /> ❑POOL/SPA SRE MRmm" <br /> ❑DAIRY a 2712 East Fremont Street Stockton <br /> ❑LAND URE APPLICATION SITES co <br /> Q HW81NG <br /> SEPTIC PUMPER TRUCK/ a P700 East Fremont Street Stockton 17�� <br /> YARD I CHEMICAL TOILETS <br /> ❑WABTEwATER TREATMENT PLANT aCUPA <br /> ❑HOUOINGALATEMENT T 2707 East Fremont Street Stockton <br /> F1 MOMLIHOTEL y/ <br /> ❑CHICKEN RANCH I DOG KENNEL fY CUPA•UST <br /> ❑MEDICAL WASTE FACILITY a 2725 East Fremont Street Stockton <br /> ❑TATrOO]BODY PIERCING <br /> SOLID WAeTE <br /> ❑WASTE TIRE a 610 North Shasta Avenue Stockton <br /> ❑COMPLAINT <br /> ❑OTNER(PLEASE BPECIY): ❑ACCaVMIN] <br /> „ 457 North Shasta Avenue Stockton ` <br /> • '^BOXED AREA-EHq gal!ONLY"' <br /> n n...A.w. ..,yl,l.,e.+s..,gtprr-oopM..u. <br /> Received Time-Mar, 20. =2011=11 : 26AN�No. 1068 <br /> cn."-U- <br />