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RECEIVED <br /> SANflJOAQUIN ��� AnAronmental Health Department <br /> --COU NTY— AF PUBLIC RECORDS RELEASE APPLICATION <br /> • eat ,sss glow• " ENVIRON TI <br /> AIL <br /> PERMITS EHD LOG NUMBER: <br /> APPLICANT: Jackie Hyman BUSINESS/AGENCY:Advanced GeoEnvironmental <br /> ADDRESS: 3335 E.Mimlome Ave.#142 CITY/STATE/ZIP:Anaheim,CA 92806 <br /> PHONE(1): 800-511-9300 PHONE(2): FAX OR E-MAIL: lhyman@advgeoenv.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 /> SIGNATURE OF APPLICANT DATE 03AP612018 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138, mail to the <br /> address indicated below, or email to infic(clisicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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$152 deposit prior to review. `11 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM•5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> 0 Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) ❑CONSUMER <br /> • Q Other Cleanup Site(Nan-LOP <br /> 2010 West Fremont Street Stockton <br /> Q Hazardous Waste ^ t Ej DAIRY0 Tiered Permitted Facility 2 •/ <br /> Q Aboveground Tank <br /> nX UST (Monitoring/Removal) /� q l 1 []PwS <br /> Q Hazardous Materials a 1 Ipn G Y <br /> nX Spill/Release Response <br /> E]Solid Waste Facility/Vehicle 4 l'- J}pm1z�� ^ ATER QUAIrY <br /> Food Facility <br /> Pool I Spa ^^�yt, SITE MITIGATOR <br /> Dairy a 1 <br /> Land Use Application Sites 1 VVV��JJ , <br /> Septic Pumper Truck/ 6 _ 11HOUSING <br /> Yard/Chemical Toilets <br /> Wastewater Treatment Plant ffC11A <br /> Housing Abatement 7AST I HM I HW <br /> Motel/Hotel <br /> Chicken Ranch I Dog Kennel BUPA <br /> Medical Waste Facility 8 UST <br /> ❑Tattooll3ody Piercing SOLD WASTE <br /> Waste Tire g <br /> Complaint <br /> Other(Please Specdy): ❑ASS.S WG <br /> 10 <br /> —BOXED AREA-EHD USE ONLY*** <br /> • y 111 Gr . 1�e L. rn (Y 4 J t� t ! V7n <br /> ❑ Records provided by Staff-PPR Complete. staff Name: Elio R no <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />