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e ■ lull �OVED (FAX) P.001/001 <br /> DATE RRED EHD LOG NUMBER <br /> { <br /> C'CT 1 1 206 SAN JOAQUIN COUNTY� ENVIRONMENTAL HEALTH DEPARTMENT 9q705 <br /> ,6r1: (2 East Hazelton Avenue, Stockton, W 8:w..232ENVIRQN..fEN IRI.HEALTFklephone: (200)488-3420 Fax: (200)464-0138 Web:wwwsjgov.org/ehd <br /> • PERMiT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Erin Rottacker BUSINESS/AGENcY:Adyanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Rd, CITY/STATE/ZIP: Stockton, CA 95215 <br /> PHONE (1): 209-467-1006 PHONE(2): FAX OR E-MAIL; erottacker0advgeoenv.com <br /> Please allow 10 business days from date of application submittal for the records to be available, <br /> Staff will con t you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EX E ITE RE GEST 5130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 B SI ESS DAYS <br /> SIONATUREJOF APPLICAN (A DATE 1b I <br /> 1. List up to ten addressee In the apace bolo . Select the type(s)of files from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091484- W or mail to the address Indicated above Address <br /> ranges will not be accepted.Applications recelvoc 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 $130 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> UNDERGPWND TANK(USTI Street fl Street Name City � IA <br /> CLEANUP SITE(LOP) I-)CONSUMER <br /> ®OTHER CLEANUP$ME(NoM-LOP) ' 623 South Harrison Street Stockton <br /> ®HAznRDDUS WASTE <br /> DMRY <br /> ® <br /> TIERED PERMITTED FACILITY ] <br /> ®ABOVEOROVND TAN. 641 South Harrison Street Stockton <br /> EJUST (MONITORING/REMOVAL) 13 PWS <br /> ®HAZARDOUS MATIB L s 3 540 West Scotts Avenue Stockton <br /> ®SPILURELEABE REBPONISE <br /> SOLID WASTE FACILITY I VEHICLE i WRIER GVALITY <br /> ❑FOOD FACILITY <br /> POOL/SPA SITE MITMMN <br /> DAIRY <br /> ®LAND UBE APPLICATION SITED <br /> �SEPTIC PUMPER TRUCK/ ! pHouRwa <br /> YARD/CHEMICAL TOILETS <br /> WASTEWATER TREATMENT PUNT CUP. <br /> HOUSING ABATEMENT T <br /> MOTBUHOTEL <br /> ❑CHICKEN RANCH/COO KENNEL CUPA•+IAZ4*AT <br /> B <br /> ❑MEDICAL WA4Te FACILITY <br /> TATToo/EIoDY PIeCING <br /> SDLID WASTE <br /> WAVE TIRE p <br /> ®COMPUINT <br /> OTHER(PLEASE SPECIFY): p ACPOBN INa <br /> 70 <br /> ""BOXED AREA-EHD USE ONLY" <br /> Received Time_0ct. 11. _2016_ 1 : 51PIM-No. 0137 <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br />