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®e 02/22/2016 09:30 (FAX) P.0011001 <br /> e e <br /> la <br /> NSA <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> tt <br /> • FEB 2 2 2€116 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232aMR0N <br /> M ALH hone: (209)468-3420 Fax: (209) 484-0138 Web: www.sjgov.org/ehd <br /> PEMITISERMCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Berilklan BUSINESS/AGENCY:Advanced GeoEnvironmentel <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton,CA 85215 <br /> PHONE (1): 209-467-1006 PHONE(2):209483-3401 cAX Oli E-MAIL: 209.467-1118 <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 Lhe requested records. <br /> ❑CHECK BOX TO EDCPEDITE EST- ELr(CA$ 4�CHECK ONL O-REQUEST PROCESSED IN 3'BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE if <br /> Electronic information: ❑ Llst ap—Dascription: <br /> FILE ADDRESS <br /> street street Nemo City EHD USE ONLY <br /> 1• 100 South Ventura Stockton <br /> 2 [:3UNt 1 <br /> 2040 West Washington Stockton <br /> 3. 1804 West Main Street Stockton nit2 <br /> 4. <br /> ❑UnI 2H <br /> 5. <br /> Unit9 <br /> s. <br /> nit 3HM <br /> 7. <br /> ❑Unit a <br /> 8 BITE MITIGATION <br /> 9. /� <br /> 10. ®"Unit 8 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ©UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MOTELIHOTEL ❑SOLID WASTE FAGLITYNENCLE <br /> ©OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ARATEMFNT ❑FOOD FACILITY <br /> ®UNDERGROUND TANK(MDNITORING/REMOVAL) ®WASTE TIRE ❑DAIRY,POOUSPA <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTE ❑MEDICAL WASTE FACILITY ❑PUMPER TRUCKIYARWCHENBCAL TOILETS <br /> HAZARDOUS MATERIALS ❑TATTOOIBODYPIERCING ❑LAND USE APPLICATION SITES <br /> ❑TIERED PERMmrED FACIUTY ❑COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY( <br /> WELLAND SEPTIC PEFM RECORDS ARE AVAILABLE FOR REVIEW: MONDAY•FRIDAYS:OOAM•5:00PM(EXCLUDING HOUDAYS) <br /> 1. List uo to ton addresses In the apace above. Select the type(5)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)484-0138 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 END 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 /> —BOXED AREA-EHD USE ONLY"" <br /> ❑ Records provided by Staff-RPR Complete. Staff Name: <br /> Received Time Feb, 22. -2016' 9 : 18ANi No. 0494 <br />