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■� 1012812015 09:02 (FAX) P.0011001 <br /> ■ <br /> I Et <br /> ■ <br /> I■ DEWED AN ajOAC UI E COUNTYEHDLO.GNUMBER <br /> OCT 2 8 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTAL HEAD (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> f ERItrIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Berjlklan BUSINESS/AGENCY;4dvanceed GeoEnvironmental <br /> ADDRESS., 837 Shaw Road CITY/STATEIZIP• Stockton,CA 95215 <br /> PHONE (1): 209-467-1006 PHONE(2): 209-483.3441 FACSIMILE: 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 the requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUE CASH OR CHECK ONLY)-REQUEST PROCESSED IN (NESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List Map—Description: <br /> FILE ADDRESS <br /> >� Street# Street Name City EHD USE ONLY <br /> 1. 825 Navy Drive Stockton Ctle'�,-tom 0)-?) <br /> 2. 1137 South Stockton Street Stockton C�¢,,,,�_Ccs, �j� j i,l��I't -l:li�lt 1 <br /> 3. 1240 Navy Drive Stockton �' may i <br /> ❑ nit 2 �,� .(,(� <br /> 4. 1145 West Charter Way Stockton <br /> S, 939 West Charter Way Stockton ;,,P-j5 <br /> p : <br /> 6. LA�-j —Co Y"n v ✓1nit 3 <br /> 7. f�` 1 Er( nit 4 <br /> -61-7E MITIGATION <br /> Q <br /> 10. � <br /> 'e 'E.InIt <br /> Specific Date Range of Information Requested: From to <br /> ENVIRON;viENTAL HEALTH DEPARTMI=NT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY Lam!SOLID WASTE FACILITYNEHICLE <br /> % 1Q'rHER CL EANUP SRF(I`qffN.LnP) ❑Housi.NG ABATEMENT L�-IWA TE TIRE <br /> ©'UNDERGROUND TANK(MONITORINOIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> Q//jBOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOU8 MATERIAL5 ❑MOTELIHOTEL []PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑P1OOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOO/aoDY PIERCING OMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY•FIZIDAY 8:00 AM•5:OOPM(EXCLUDING HOLIDAYS) <br /> 1, last up to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one flia type MUST be selected. Fax to 1209)464-0138 or mall to the address Indlcated 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 Identityy(ng the nature and content of EHD records,please contact EHD at the number noted above, <br /> 3. The EHD will notlfy the applicant If any EHD Ales exist. An appofntment 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 flle reviews by the same applicant may require a$130 deposit prior to review. "'ROXEp AREA-EHD USE ONLY'— <br /> Eoei.�uil t'_Irr-,�, ,a1 V,15+ 0.140 ()r It}l �46aj' yj � il4 Pr L9e Ja A LI 1T 111 C$ <br /> Its CJ.v,r� t..C.�. a%v�e,)L t u� �i rias+ ia�lo ►tJ,►ly r. It CH, 11111Y""ter (,Le Q. Cat. I ° Cys is ).i i-S� i� for It ( Cion <br /> CCS a4- Ca ." tiz.L40 Nov w co t s-lj I <br /> DRecords provided by Staff-PPR Complete.staff Name:: Low ^61,i� "'AlcoS <br /> EHD 48-06 (_tryw!'e� �✓�r JUe�,� �t(�!s DC��i �r f.4�• iv�n` f 7!116 <br /> Received Time Oct. 28, 2015 8: 54AM No, 9891 i ot.t:"(77-5-7;5, qA KC0001'5)5q (or-ttg5(-,,ker <br /> t'.oAojjaek WcRj-Io3h).i4i-►Nt✓f;ib L, QaS k1l"L,hL . pu.,a.60.,1,.- C.OtsA)L011 r.L toullwi (, t1'r,CAtrii (14o Mntn.: t. <br />