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m 11110/2017 15:15 (FAX) P.001/001 <br /> tr. <br /> RECEIVED <br /> tl. SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> NO- ) o�A 1; (2 East Hazelton Avenue, Stockton, CA b:www,sjgoEW y.org/ehd <br /> • rA.{�t,2r �j Telephone: (2D9)468-3420 Fax:(209)484-0138 Web:wWw,sjgay.arg/ehd <br /> { HeAum PUBLIC RECORDS RELEASE APPLICATION <br /> w-4 <br /> APPLICANT: Rene Toth BUSINESS/AGENCY:Advanced GeeEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton, California 85215 <br /> PHONE(1): 209-467-1006 PHONE (2): FAX OR E-MAIL: rtoth@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 arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-5130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT`_ A <br /> ( IC,1/AA DATE 11/10/2017 <br /> 1. List up to tan addressee In the apace below. Select the type(a)of flles from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091 464-0138 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. The EHD will notify the applicant If any EHD flies exist. An appointment for review will be confirmed approximately tan(10) <br /> days after recelpt 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 END 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: tj <br /> Specific Date Range of Information Requested; From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EMD USE ONLY <br /> • x❑UNDERGROUND TANK(LIST) Street 0 street Name City <br /> CLEANUP SITE(LOP) L]CONBUNER <br /> OTHER CLEANUP® ' 749 South Stanislaus St Stockton <br /> ❑X HA ARDOVa WASTE DAIM <br /> TIERED PERMITTED FACILITY 2 818 South Stanislaus St Stockton FF' <br /> ®AB"OR NO TANK <br /> Q UST (MONITOMNO/REMOVAL) ❑PWS <br /> O HAZARDOUS MATERIALS 8 <br /> O SPILL/RELEASE RESPONSE ,/ <br /> gSOLID WASTE FAORITV/VEHICLE 4 1t I(� I�1 wTPR GW4T, <br /> E]FOOD FACILITY JJ 1 <br /> ❑POOL I SPA 9rt1 Maw.neN <br /> DAIRY E <br /> O LAND USEAPPLICATION SITES <br /> ❑SEPnc PuNPER TRVCK/ ❑Houam <br /> 6 <br /> YARD/CHEMICAL TOgETB <br /> Q WASTEWATER TREATMENT PLANT CUPA <br /> ❑HOUaINO ABATEMENT T ST <br /> MOTP1/HOTEL l `llj' ✓ <br /> p GNIDNEN RANCH/DOD KENNEL CUPA-LIST <br /> ❑MEDICAL WAOT FACILITY E <br /> ❑TATTOOIBODY PIERCING <br /> p WASTE TIRE 0 iD Wwm! <br /> e <br /> ©COMPUINT <br /> (]OYHER(PLEABE SPECIFY); p AccouaINO <br /> �D <br /> t. "•aOXED AREA.EHD USE ONLY^-// I ^ � <br /> I tJ't f^ IC t/I✓ / r voce ✓1 O iA D F Ct G1 HPiL gxve- <br /> Q Raeords rovided by Stag-PPR Complete. Staff AMMOT <br /> Received Time—Nov. 10, -2011- 2 43PM—No. 25/b <br />