Laserfiche WebLink
03! (FAX) P.0011001 <br /> �•� DATE R�P�IVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> 111: MAR 2 (1 201? ENVIRONMENTAL HEALTH DEPARTMENT 040111110" <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-62325 <br /> am- ONMeTALI,F.�*lephone: (209)468-3420 Fax: (209)464-0138 Web: www.$)gov,org/ehd <br /> F'Ef�AITCaLE PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal / Rene Toth BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: StOCkton, CA 95215 <br /> PHONE (1): (209)467-1006 PHONE (2): (209)623-7200 FAX OR E-MAIL: Rnata1Qadvaeoenv.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-$139 (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> 1. List up to ten addresses in the space below. S lect the typ (a) 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 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 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 $139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:001"M(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> Specific Date Range of Informatlon Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT PILE ADDRESS <br /> FILES EHD USE ONLY <br /> UNDERGROUND TANK(UST) Street o Street Name city <br /> X CLEANUP SITE(LOP) M CONSUMER <br /> + 20 Gateway Court Stockton <br /> OTHER CLEANUP SRE(NON-LOP) <br /> p7 <br /> HAZARDOUS WASTE � � <br /> ❑DARY <br /> 7I TIERED PERMITTED FACILITY 2 23 Gateway Court Stockton `~ <br /> �+•ABOVEOROUND TANK <br /> UST (MONITORING/REMOVAL) (� ❑PWS <br /> HA7ARDoUs MATERIALy 3 39 Gateway Court Stockton <br /> ®SPILLJRELEAUE RE8PONUE / <br /> WATKIII,QUALITY <br /> ❑SOLID WASTE FACILITY/VEHICLE d <br /> 206 March Lane Stockton <br /> ❑FOOD FACILITY <br /> WPOOL/SPA SITE MITIOATON <br /> DAIRY ° 55 East Jamestown Street Stockton <br /> ® <br /> LANE)USE APPLICATION SITfi3 <br /> SEPTIC PUMPER TRUCK/ <br /> YARD/CHEMICAL TOILETS a 125 East Jamestown Street —( Stockton <br /> ❑WASTEWATER TREATMENT PLANT t(CUPA <br /> F1 HOUSING ABATEMENT 7 <br /> 171 MOTEL/HOTEL <br /> ❑CHICKEN RANCH/DOG KENNEL IJ CUPA-UST <br /> E]MEDICAL WASTF.FACILITY B <br /> TATTOOIBODY PIERCING <br /> WASTE TIRE $DDo WASTE <br /> 9 <br /> ®COMPLAINT <br /> OTHGR(PLIEASi SPGCIFY): AOCOVNiINO <br /> 10 <br /> —BOXED AREA-EHD UBE ONLY— <br /> Received Time�Mar, 20L,f201 l L1 : ?8PNr—No. 1070 <br />