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031 .1-2..,/ y* (FAX) P.0011001 <br /> ��� DATEfE6 EHD LOG NUMBER <br /> M SAN JOAQUIN COUNTY <br /> �M IMAR 2 9 2017 ENVIRONMENTAL HEALTH DEPARTMENT WOW <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> E�'�f I 05 019RON ,TAL I.W.��plephone: (209)468-3420 Fax: (209)464-0138 Web: www.$)gov,orglehd <br /> PEIVNIT/SE# CES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal / Rene Toth BUSINESS/AGENCY: Advanced GeoEnyironmental <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: Rn2t2jQadvaeoenv.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 3 11.0 11-1 <br /> 1. List up to ten addresses in the space below. S lect the typ (e)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$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:001"M(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Speclflc Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> UNDERGROUND TANK(UST) Street a Street Name city <br /> X CLEANUP SITE(LOP) In CONNUNER <br /> OTHER CLEANUP SITE(NON-LOP) 2O Gateway Court Stockton <br /> HAZARDOUS WASTE ❑DAIRY - <br /> �(�J <br /> TIERED PERMITTED FACILITY 2 23 Gateway Court Stockton `+ r <br /> ABOVEGROUND TANK <br /> �I UST (MONITORINU/REMOVAL) ❑PWS <br /> HAZARDOUS MATERIALS 8 39 Gateway Court .— z Stockton <br /> SPILIfRELEA$E RESPONSE <br /> WATIR QUALITY <br /> F1SOLID WASTE FACILITY/VEHICLE 4 <br /> 206 March Lane Stockton <br /> rn0 FOOD FACILITY <br /> '7 I POOL/SPA SITE MmoAnoN <br /> F-1 DAIRY 1 55 East Jamestown Street Stockton <br /> ®LAND USE APPLICATION SITES <br /> SEPTIC PUMPER TRUCK/ <br /> YARD/CHEMICAL TOILETS 6 125 East Jamestown Street - Stockton <br /> Fj WASTEWATER TREATMENT PLANT <br /> 4CUPA <br /> ❑HOUSING ABATEMENT 7 <br /> MOTr.UHOTfiI <br /> CHICKEN RANCH/DOG KPNNEL Q CUPA-UST <br /> MEDICAL WASTE FACILITY B / <br /> TATTOGVBODY PIERCING <br /> WASTE TIRE []$OLID WASTE <br /> 9 <br /> ®COMPLAINT <br /> OTHER(PLEA3E SPECIFY): ACCOUNTING <br /> 10 <br /> "'@QXED AREA-EHD U&e ONLY"' <br /> Received TimelLMar, 20,,f2017- 1 . 28PY—Nlo. 1.070 <br />