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e°a ktt�b�iED SAX) P.001I001 <br /> Fag DATE RECEIVED - EHD LOG NUMBER <br /> SAN JOAaUIN COUNTY <br /> JUL 2 J 2016 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue,Stockton, CA 95205.6232 <br /> 9 NVIROHMENTAI HEALT 4 Telephone;(209)4583420 Fax:(209)454-0138 Web:www,sigov.org/ehd <br /> _ f?iirriSEMR CES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rene Toth eus(NESS(AGENCY: Advanced GeoEnyironmentaf <br /> ADDRESS: 837 Shaw Road CITYISTATE/ZIP: Stockton, CA <br /> PHONE(1): (209)467-1006 PHONE(2): FAX OR E-MAIL: rtothQadvgeoenv.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact IOU to arrange an appointor n Steen me to review the requested reoords. <br /> ❑ CHECK BOX TO EXP 1' RE I EST.5130 FEE(CAS CHE ONLY -REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 25 July 2016 <br /> 1. List up to ten addresses in th s ce slow. So ct the typo 111 os from the list below by checking the appropriate <br /> box(es). At least one fife type UST be selected. Fax to(2091 4.0138 or mall to the address Indicated above Address <br /> ranges will not be accepted.Applications recelved after 3:00 pm will be processed the next business day. <br /> 2. For assistance In identlfytng the nature and content of EHD records,PISSED 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 /> daye after receipt of application. The files will be held for a maximum Of Elva business days for review. Appointments <br /> should be scheduled accordingly. <br /> d. 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 o$130 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY•FRiDAY 8:00 kM-5:OOFM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS D E ONLY FILES <br /> IJIM UNDERGROUND TANK(U917 Street# 3lraet Nems pity <br /> CLEANUP Sm(LOP) �j Cl <br /> S7CDN6UNM <br /> OTHER CLEANUP E(NON-LOP) 128 Visalia Court Stockton <br /> ®HAZARDOUS WASTE <br /> ❑DIm <br /> TIERED PERMITTED FACULTY E 136 Visalia Court Stockton n <br /> ❑ABOVEGROUND TANK L1�I <br /> LIST(MONITORING/REMOVAL) Y,A� pPWS <br /> E HAEARDOUS MATENAI3 6 144 Visalia Court Stockton <br /> E SPILURELEASE REBPORBE <br /> Q I•/ <br /> SOLID WASTE FACILITY/VEK� wAM QUALIN LE . 152 Visalia Court Stockton UI[/' <br /> FOOD FACILITY <br /> ❑POOL/SPA DAIRY 6 160 Visalia Court Stockton <br /> ®LAND USE APPLICATION SITES- !' <br /> ®SEPTIC PUMPER TRUCK/ - 6 1701 I••/�� Washington St. Stockton I—Dp- L,V, °HPU'INc <br /> YARD I CHEMICAL TOILETS 'J <br /> WASTEWATER TREATMENT PLANT GUPA <br /> ❑HOUSING ABATEMENT 7 <br /> ❑MoTEUHoTm <br /> ❑CHICKEN RANCH/DOG KENNEL UPA- (/I 77 <br /> E MEDICAL WASTE FACILITY a <br /> ❑TATTOP'TjooY PIERCINo ®soup Men®WASTE TIRE 6 <br /> ®COMPLAINT <br /> ❑OTHER(PLEASE SPECIFY): TD ACCOD R. <br /> •2QUn AREA•r_HD USE ONLY" <br /> ❑ Records provided by Staff-FPR Complete. Staff Name: <br /> Received Time=Ju1. 25. -2016=11 : 15AYr--No. 1018- <br />