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From:Advanced _ ��707�� To:2094640139�rcfax.can Fax: (209)464-0138 Page 2 of 2 01!17!2017 4:49 PM <br /> D <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> JAN � S 20117 ENVIRONMENTAL HEALTH DEPARTMENT /� <br /> 544tb <br /> PUBLIC RECORCS RELEASE APPLICATION <br /> 1868 East Hazelton Avenue,Stockton, CA 95205-6232 /yvJ, <br /> • <br /> .Telephone:(209)4683420 Fax:(209)464-0138 Web:wut <br /> l9WM!.sjgov.org/ehd <br /> VIRONNIEt��� <br /> —�PkAt�I&E ' <br /> APPLICANT- pan,ptI, <br /> .Ckar BUSINESSIAGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 3335E MiralomaAVE #142 - CITYISTATE2IP: An�nT-ern c>2806 <br /> PHONE(1): 7j4_599-09(10 PHONE(2): FAX OR E-MAIL: rlhorkarnAdvnananv rnm <br /> Please allow 10 business days from,00e of application submittal for the records to be available. <br /> Staff will contact Xo 'th arrange a intment date and time to review the requested records. <br /> [ iD+ OK BOXTO EXP €IRE EST $139 rE ( ASH OR CHECK ONLY-REQUEST PROCESSR0�.f F3 3USINESS DAYS <br /> SIGNATURE OF APPLICANT _ DATE 1-17-17 <br /> 1. List upto Yen addresses addresses in the space be a 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 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$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 Information: ® List❑ Map—Description: <br /> Specific Date Range of Information Requested: From 1940 to Present <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> . UNDERGROUND TmK(UST) Street# Street Name city <br /> CLEANUP SITE(LOP) [3 CON81naLS <br /> • S <br /> OTHER CLEANUP SITE(NON-LOP) A <br /> ® Isas E.MarkeLBL StOCICIOT <br /> ®'HA ROOus WmTE ❑DMRY <br /> ®TIFRFn PERMITTED FACILITY $ <br /> 1537 E.Market 6t Stockton If <br /> - X❑AllOVCGROUNO TANK <br /> OUST (MONITORING/REMOVAL) ❑PWS <br /> k]HAZARDOUS MATERIALS 3 <br /> SPILURELEABE RESPONSE WATER ONTIITV <br /> $DUD WASTE FACULTY/VEHICLE 4 <br /> FWD FAOUu <br /> ❑POOL/SPA Sire MmDATRN <br /> ❑DAIRY 6 <br /> LAND USE APPLICATION SITES <br /> Hou51No <br /> ❑SEPTICPUMPER TRUCK I <br /> 6 <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTEWATER THFAIMENY PLANT COPA <br /> F1 HOUSINGAfiATEMENT T <br /> ❑MOTEL/1I <br /> ❑CHICKEN FANCHI DOG KFMNFL CUPA-UST <br /> ll MEDICAL WASTG FACWTY 6 <br /> M TATTOO/BODY PIERCMG Soup 4VmT= <br /> F-1 WASTE TIRE <br /> 8 <br /> ❑COMPLAINT <br /> ❑OTHER(PLEASE SPECIFY): A.U.N. <br /> 10 <br /> "`BOXED AREA-EHO USE ONLY"' <br /> 1c, Records provided by Staff-PPR Complete. staff Name: <br /> EHD 48-06 <br /> Received Time Jan. 11. 2017 04.45PMNo, 0106 <br />