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10/1 �t1��� SAX) P.0011001 <br /> DATER C D EHD LOG NUMBER <br /> OCT 11 2016 SAN JOAC!UIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT �/7 <br /> 1888 East Hazelton Avenue, Stockton, CA 95205-8232 �VV//�� <br /> ENVIRONMENTAL HEAL1TMlephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ohd <br />10. <br /> PERMff/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Erin Rottacker BUSINESS/AOENCY:Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Rd. CITY/STATEIZIP; Stockton, CA 95215 <br /> PHONE(1); 209-46)7-1006) PHONE (2): FAX OR EMAIL: erottacksr&advgeoenv,corn <br /> Please allow 10 business days from date of application submittal for the records to be available, <br /> Staff will con t you to arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXE ITE REQUEST $130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 B SI ESS DAYS <br /> SIONATURE)OFAPPLICAN lA DATE ID11111k <br /> 1. List un to ten addresses In the space belo . 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 recelveclafter 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 $130 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8;00 AM-6;OOPM(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 EHD USE ONLY <br /> UNGERGROLIND TANK(UST) Street# Street Name City ��IQ <br /> CLEANUP SITE(LOP) p CONSUMER <br /> ®OTHER CLEANUP SUE(Nom-LOP) 623 South Harrison Street Stockton <br /> ®HAZARWU9 WA6rE 13 CARY <br /> ®TIERED PERMITTED FACILITY Z <br /> ®ABOVEGROINDTANK 641 South Harrison Street Stockton <br /> MUST (MONITORING I REMOVAL) C)PWS <br /> ®HAZARDOUS MATERIALS G 540 West Scotts Avenue Stockton <br /> ®SPILURELBA4E RESPONSE <br /> SOLID WASTE FACILITY/VEHICLE A WAiEF QUALITY <br /> FOOD FACILITY <br /> POOL I SPA 10 SHE MITGATION <br /> DAIRY B <br /> ®LAND UBE APPLICATION SITES <br /> SEPTIC PUMPER TRUCK/ ! 11 HouLMo <br /> YARD/CHEMICAL TOILETS <br /> WASTEWATER TREATMENT PUNT CUPA <br /> HOUSING ABATEMENT T <br /> MOTELIHOTEL <br /> CHICKEN RANCH/DOG KENNEL CUPA-MIAZ-AAT <br /> B <br /> MEDICAL WASTE FACILITY <br /> TATrowumY PIERCING E)SOLID WASTE <br /> El WASTE Tim p <br /> ®COMPLAINT <br /> OTMERiPLEASE SPECIFY). p ADCOPNHXD <br /> 1D <br /> --BOXED AREA-END USE ONLY— <br /> Received Tllrle_0ct. 11, _2016_ 1 : 51PN-No. 0137 <br /> 0 Records provided by Staff-PPR Complete. Staff Name: <br />