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RECEIVED <br /> SAN J O A Q U I N MAR 2 3 2018 Environmental Health Department <br /> -----COUNTY---- PUBLIC RECORDS RELEASE APPLICATION <br /> ENVIRONMENT <br /> BY EMAIL <br /> EHD LOG NUMBER: <br /> VV474 <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnvironmental,Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton,California 95215 <br /> PHONE (1): 209-467-1006 PHONE(2):209-623-7200 FAX OR E-MAIL: rnatal@advgeoenv.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrang n pppointMpA�dot d"ata to review the requested records. <br /> SIGNATURE OF APPLICANT �r DATE 3/23/2018 <br /> 1. List up to ten addresses in the space below. Address ran es W L NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one fill type MUST be selected. Fax to(209)464-0138, mail to the <br /> address indicated below,or email to info(a)sicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EH t n be o for. <br /> 3. The EHD will notify the applicant if any EHD files exist. An appointment for review will c tr d a en (10) <br /> days after receipt of application. The files will be held for a maximum of five business d ysIrew ntts <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$152 deposit prior to review. <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 to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( p y 9 accepted) WEHD EON LY <br /> FILES (Specific addresses only,address ranges will not be acce tedQ Underground Tank(UST) Street# Street Name City Cleanup Site(LOP) (J'�q ❑CONSUMEP,®Other Cleanup Ste(Non-LOP) ' 3805 West Lane Stockton V �( <br /> �l , 5-) 1 L/® Hazardous Waste 14A,y 1621 N Broadway Ave Stockton w ❑DAIRYX Tiered Permitted Facilit 2laCi <br /> Aboveground Tank 1 #II <br /> Q UST (Monitoring/Removal) ❑PWS <br /> 7 Hazardous Materials 3 <br /> Q Spill/Release Response <br /> []Solid Waste Facility/Vehicle 4 WATER QUALITY <br /> Food Facility <br /> Pool/Spa NIISITE MITIGATION <br /> ]Dairy 5 <br /> Q Land Use Application Sites <br /> (]Septic Pumper Truck/ 6 HOUSING <br /> Yard/Chemical Toilets <br /> 0 Wastewater Treatment Plant CUPA <br /> 7 Housing Abatement 7 AST IHM/HW <br /> Motel/Hotel <br /> 1]Chicken Ranch/Dog Kennel CUPA <br /> Medical Waste Facility 8 UST <br /> ]Tattoo/Body Piercing <br /> SOLID WASTE <br /> ®Waste Tire g <br /> Q Complaint <br /> Other(Please Specify): E]ACCOUNTING <br /> 10 <br /> —BOXED AREA-EHD USE ONLY*** <br /> (v"l `l"' ' 0 cel e � <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />