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From:Adv a vN 7 To:2094640138@cfax.con Fax: (209)464-0138 Page 2 of- 0310272019 4:45 PM <br /> DAT .R EtvEDEHD LOG NUMBER <br /> SAN.JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> A Q 2 2D�8 1868 East Hazelton Avenue, Stockton,CA 95205-6232 <br /> CN, 3 v, Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> AOL �� �T57R PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Diane Becker BUSINESSIAGENCY: Advanced Geo Environmental, Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton, CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2):714-529-0200 FAX OR E-MAIL: dbecker@advgeoenv.co <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 EXPEDIT 2E ST-$139 FEE(CASH OR CHECK ONLY)- REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 03/02/2018 <br /> 1. List up to ten addresses in the pace dud-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 (209) 464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted.Applications received after3:00 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 $139 deposit prior to review. i <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) ` <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> Specific Date Range of Information Requested: From 1/1/1940 to 3/2/18 <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> ❑x UNDERGROUND TANK(UST) Street# Street Name city <br /> CLEANUPSITETOP) (L-k Nh <br /> LStockton 000NSUMER <br /> O OTryER CLEANUP SITE(NON-LOP) 2004 Mariposa Rd. <br /> O HAZARDOUS WASTE <br /> DAIRY <br /> TIERED PERMITTED FACILITY 2 2024 Mariposa Rd. Stockton r. <br /> O ABOVEGROUND TANK <br /> OUST (MONITORING/REMOVAL) ❑PWS <br /> O HAZARDOUS MATERIALS 3 <br /> O SPILURELEASE RESPONSE ,,LL <br /> O SOLID WASTE FACILITY/VEHICLE 43 y1 I Ib / ATER QUALITY <br /> [_1FOOD FACILITY 1 1 l VI,/ <br /> ❑POOL/SPA GAME MIMGATION <br /> ❑DAIRY 6 <br /> ❑LAND USEAPPLICATON SITES <br /> ❑S EPTIC P LIMPER TRUCK/ []HOUSING <br /> 6 <br /> YARD/CHEMICAL TOILETS <br /> WASTEWATER TREATMENT P LANT <br /> F­iHWSINGA611TEMENi T <br /> F-1 MoTELIHOTEL VNI <br /> f't^J <br /> F-1 C HICKEN RANCH/DOG KENNEL RKfCUPA-VST <br /> MEDICAL WASTE FACILITY B <br /> TATTOO/BODY PIERCING <br /> F1 WASTE TIRE SOLIE WASTE <br /> 9 <br /> 41 M <br /> ❑COMPLNM <br /> OT1ER(P LEASE SPECIFY): 11 AOCOUMING <br /> 10 <br /> "`e OXEO AREA-EHD USE ONLY"' <br /> 3 -Cudne recX G o k AA v� 1 . 0,^ C=— <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> Received Time—Mar, 2. -2018— 4: 38PM—No, 3152 <br />