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@� 09/23/2015 15:49 (FAX) P.0011001 <br /> to <br /> S � <br /> 5 � <br /> y� DATE RECEIVED SAN JOAQUIN COUNTY EHD LOt3 NUN/BER <br /> RE"'UBV�' EI�IVIP.®f�MEt�TfLErLTI-I �EFIRThRI=NT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> D �j "��1�'Telephone: (209) 468-3420 Fax: (209)464-0138 Web, wtvw.sjgov.org/ehd <br /> rF&6RONMENTALl FAVI H PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT. Jennifer BarjWan SUSiNESSIAGENCY:AdvancedCeoEnvironmental <br /> ADDRESS; 837 Shaw Road CITY/STATE/ZIP;Stockton,CA 95215 <br /> PHONE (1): ZQ9-467-1aD6 PHONE (2): 209-483-3401 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 arrangen-app 'nttrlent date and time to review the requested records. <br /> ® CHECK BOX TO EXPE-DI $130 FEE OR CHECK ONLY)-REQUEST PROCESSED IN/3�BUSINESS YS <br /> SIGNATURE OF APPL � F"- � DATE <br /> IsrA�i <br /> Electronic Information: ❑ LI-ST-n Map- et tiaElon: <br /> FILE ADDRESS <br /> Streat# Street Name Ci ) EH USE ONLY <br /> 2. h�a�► Unit 1 <br /> 3. 1400 Vlotor Road <br /> i� 4• 11220 East Victor Road Lodi Unit 2H <br /> 5. 1301 East Lockford Lodi lA^" -C�0,Lt'41 L11 J(orm <br /> 6. 400 North Cluff Lodi W I-IV-U0,'-A.,g1-C40 twV -lr1 1j �o <br /> 7• i]'l►nit 4 <br /> 8. Tj sITEE MITi0ATION <br /> 8. <br /> 1 Q. ❑Unit 5 <br /> Specffle Date Range of Infonratlon Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LDP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILir'(l\/EHICLE <br /> ®OTHER CLEANUP SITE(NGN•LOP) ❑HOUSii.ABATEMENT ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MOWTORINGIREMOVAL) ❑FOOD FACILITY ❑OAiRY <br /> ❑ABOVEGROUND TANK ❑CHICKEN RANCH!DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ❑HAZARDOUS WASTEIHAZARMUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHENIICAL TOILETS <br /> ®TiERED PERWETTED PACiLTi ®POOUSPA ❑LAND USE APPLICATION SrTES <br /> ❑TATTo0/BODY PIERCING ❑ComPLAINVRESPOWE RECORDS ❑OTHER(PLEASE SPECIF)') <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW; MONDAY-FRIDAY 8:00 Aul-5:001?M(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the types)of files from the list above 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,plsassee contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant If any EHD flies exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be hold for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any file not returned In the Same Condit!'✓t as released tkill I'e renmaanized by EHD et_-ff at the ewpenae of the applicant. <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. 'BOXED AREA-EHD USE ONLY— <br /> (.1r,Cw, rEy {.ter 1�to��w�orQ 1 v l.3GKr1��r !, <br /> ( / 1400 Vicfs� i�� L o 1 I,L � G•+d +��OC1�,,Gi- rove a )`��J 'tl v ch fav 4�L� btu -AV2- <br /> I ed S106 r� lsr I n 4gIS GO l ��. G o 16q an X243 <br /> ❑ Records provided by Staff•PPR Complete. Staff Name: <br /> VIM <br /> Received Time Sep, 23. 2015( 3:4201o, 9632 <br />