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1012812015 09:02 ) P.00V001 <br />■ <br />I■ <br />:r RVEEHD LOG NUMBER <br />DS .l UiN COUNTY <br />ISA AN OAQ <br />OCT 28 2015 ENVIRONMENTAL HEALTH DEPARTMENT A9 -ill <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />ENVIRON MENTAL HEALT916 phone, (209) 468-3420 Fax: (209) 464-0138 Web: www.sJgOv.org/ehd <br />PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT- Jennifer Berjlklan <br />ADDRESS: <br />837 Shaw Road <br />PHONE (1): 209-467-1008 <br />BUSINESS/AGENCY Advanmd GeoEnvironmental <br />CITY/STATEfZIP: Stockton, CA 95215 <br />PHONE (2): 209A83-3401 <br />FACSIMILE: 209A67-1118 <br />Please allow 10 business days from date of application submittal forth records to be available. <br />Staff will contact you to arrange an appointment date and time to review the requested records. <br />❑ CHECK SOX TO EXPEDITEREQUE CASH OR CHECK ONLY) - REQUEST PROCESSED IN t IN S$ DAYS <br />SIGNATURE OF APPLICANT.? DATE 11 ,r <br />Electronic Information; [IList Map -- Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />Street 0 <br />Street Name <br />City <br />825 <br />Navy Drive '`z -J ,4 <br />Stockton <br />�1�/ Unit 1 <br />F2_ <br />1137 <br />South Stockton Street a-{,'?UO//Acf <br />Stockton <br />240 <br />Navy Drive U% 0 /1� ct <br />Stockton - <br />i F ;t l q �� IA ElUnit 2 <br />1145 <br />WestCharterWaycj7 <br />Stockton <br />Vii" I;j j Unit 2H. <br />939 <br />West Charter Way <br />Stockton �r <br />3 <br />6. <br />7. <br />ssnit <br />'Unit 4 <br />8. <br />i � <br />ITIGATiON <br />9. <br />7 nit 6 <br />10. <br />Spealfic Wto Panuo of Information IRequasted: From <br />ENVIRONMTWASTE <br />+LTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) FACtLRY OL�THERCLEANUP SiTE (NON -LOP) NO ABATEFIENT ASTE TIRE <br />UYNDEROROUND TANK (MONITORINoIREMOVAL) ❑ FOOD FACILITY ❑ DAIRY <br />>BOVEGROUND TANK ❑ CHICKEN RANCH) DOG KENNEL ❑ WASTEWATERTREAT11ENT PLANT <br />AZARDOUS WASTEMAZARDOLIS MATERIALS ❑ MOTELIHOTEL ❑PUMPER TRUCK/YARDICHEMICALTOILETS <br />❑ TiERED PERrA1TTED FACILITY L/SPA ElLAND USE APPLICATION SITES <br />F1TATTOO/BODY PIERCING COMPLAINT/RESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 APA-5:OOPM (EXCLUDING HOLIDAYS) <br />1. hist uQ to ten addresses In the space above, Select the type(s) of files from the list above by checking the appropriate <br />box(es), At least one file type MUST be sele(;ted. Fax to (209) 464-013$ 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 identifying the nature and content of EHD records, please contact EHD at the number noted above. <br />3. Tho EHD will notify tho applicant If any EHD 'files exist. An appointment for review will be confirmed approximately tan (10) <br />days atter receipt of application. The files wilt be held for a maximum of five buslnass 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 tho applicant. <br />Future file reviews by the same applicant may require a $130 deposit prior to review, **'130XED AREA- EHD USE ONLY"* <br />p Record$ provided by Staff -PPR Complete. staff' Name: <br />GHa an-oe 711!1 a <br />Received Time Oct. 28. 2015 8:54AM Nlo, 9891 <br />