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1 0910112016 09:08 (FAX) P.0011001 <br /> a I I <br /> in L DATE 2ECOVEDi EI EHD L00 NUMBER <br /> a SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENTr <br /> • 1868 East Hazelton Avenue,Stockton,CA 96206232 jR <br /> F Lt Telephone: (209)468-3420 Fax:(209)464-0138 Web:wVvw.sjgov.org/ehd r <br /> Lr`t PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal EUSINESS/AGENCY:Advanced GeoEnvironmental, Ino- <br /> ADDRESS: 837 Shaw Road CITY/STATErzIP:Stockton, CAS 215 <br /> PHONE(1): 209-457-1006 PHONE(2):209.623-7200 FAX OR E-MAIL: 209.467-1118 <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 EXPED T EQUEST-513 /E(Cc S,�,iy g/�CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 1�9' TA- _ DATE {' /'ICY <br /> 1, List uD to ten addresses In the space below. Select the type(a)of files from the list below by checking the appropriate <br /> box(es). At least one Me type MUST be selected. Fax to(208)464-"36 or mall to the address Indicated above. Addreas <br /> ranges will not be accepted,Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance In identifying the nature and content of 8HD 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 behold 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 staff atthe expense of the applicant. <br /> Future file reviews by the same applicant may require a 9130 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5=PM(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 � D USE ONLY <br /> E]UNOERGRWND TANK(UST) Street Street Name City <br /> CLEANUP SITE(LOP) ❑CON60YER <br /> ®OTHER CLEANUP arm(NON-LOP) T 5590 Carnegie Street Manteca <br /> ®HAPARDOUS WASTE [I DAIRY <br /> Tin TIERED PERMITTEE FACILITY 1 <br /> 1155 SessemerAvenue Manteca <br /> ®AEOVEURWND TANK <br /> Nr <br /> ®UE3 PM(MONITORING/REMOVAL) T� . <br /> (�HATARDOUS MATERIALS ' 575 Industrial 6Drive Manteca q <br /> ®SPILL/RELEASE REBPO,BE O'WATEP QUALITY n14�i1 <br /> SOLID WASTE FACILITY I VEHICLE < 600 Mellon Street Manteca <br /> ❑FOOD FACILITY <br /> ❑POM I EPA Q�Snn MmaAnox <br /> ❑DAIRY E 4004590 Industrial Park Drive Manteca <br /> ®LAND USE APPLICATION SITES H .. <br /> ❑SEPTIC PUMPER TRUCK I S 1299 Vanderbilt Circle Manteca <br /> YARD/CHEMICAL TOILETS <br /> ®WASTEWATER TREATMENT PLANT IN CUPA <br /> ❑HOUSING ASITEMENT T 1199 Vanderbilt Circle Manteca <br /> MoTEIMOTa l <br /> ❑CHICNEN RANCH I DDG KENNEL s 1153 Vanderbilt Circle Manteca m'CUPA-NAM-MAT 5i <br /> ❑MEOK:AL WASTE FACILITY 11 1 <br /> ❑TArroC,Sow PIERCING GrI&OUD WASTE <br /> �jWASTE TIRE a 1164 Bessemer Avenue Manteca <br /> ®COMPLAINT <br /> ❑QTHER(PLPAea SPECIFY); ❑MeouNrlND <br /> TD <br /> --BOXED QRE2-EHQ USE ONLY"' <br /> Receivved TImeeSe P. 1. =2016$ 8: 52APFNo 1163 stall Name. <br />