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2412014 08:22 Ir4X1WO'11001 <br /> 1 DATE RECEIVED <br /> � EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> R-C. ENVIRONMENTAL HEALTH DEPARTMENT <br /> jV <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> O 12 (!-�Telephone: (209)468-3420 Pax: (209)464-0138 Web: www.sj'gov.org/ehd <br /> l0p' <br /> I,�j�1l1RBNNl1�SE�VIO �TH <br /> PERW-rl PUBLIC RECORDS RELEASE APPLICATION <br /> APPL-ICANT:Jennifer Bediklan BUSINESSIAGENcY:Advanced GeoEnviron mental <br /> ADDRESS: 837 North Shaw Road CITY/STATE/ZIP: Stockton, CA . <br /> PHONE(1): (209)467-1006 PHONE(2):(209)483-3401 FACSIMILE: (209)467-1118 <br /> TENTATIVE"APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be co rme ) <br /> ❑ CHECK BOX TO EXPEDITE QU $125 FEE OR CHECK ONLY)-REQUEST PROCESSED IN <br /> SIGNATURE OF APPLIC Y DATE; <br /> Electronic Information: Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City Unit 1 <br /> 1. 3400 Newton Road Stockton jjtQ SP 3 <br /> 1 2• 3516 Newton Road Stockton I s AN s� .� Unit 2 <br /> 3• 3535 Cherokee Road Stockton jTMIOP J�ja�� Q`nP UA4 3 <br /> 4• 3655 East Cherokee Road Stockton u+uF3 Unita <br /> 6. <br /> _ c <br /> 6• E]'Unfta <br /> 7. <br /> 8 Unft e <br /> 9. - <br /> 10. all- <br /> e <br /> Specific Date Range of Information Requested: From all to <br /> O <br /> X1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP)RONME[I DEPARTMENT FILES <br /> HOUSING ABATEMENT ❑SOLID WASTE rACIUIYNEHICLE <br /> ❑x OTHER CLEANUP SITE(NON-LOP) ❑FODD FACILITY ❑WASTE TIRE <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL Q DAIRY <br /> x❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPERTRUCK/YARDICHEMICALTOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOL/SPA LAND USEAPPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:OOPM(EXCLUDING HOLIDAYS) <br /> 1. Llst up to ton addmemlg In the apace above. Selact the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mall to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day, <br /> 2. 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 /> 3. A file that is actively being worked on by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file Is available. <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 revlews by the same applicant may require a$126 deposit prior to review. <br /> -► P op C,.he k- d Mafl — <br /> tlf 0tVyLU, 9MVIdClA05721 — e jno 024 31,55 ��- <br /> o f lei; Aleue<lo 'M <br /> 35 � . �emKQ. -o -s'id I?0601 93 <br /> E H D 4" trPt5laIP)0f.1 Cid IPO r �I TChelDt-ee. !4W Yes UCO-6s$-57 CrT+510L '3 1(-Ne,,&V'l 111)1 /4 tO the <br /> Received Time Oct, 24, 2014 8:04AM No. 7401 Uc05,3lb3�; (rP}5jOl0) in usTFlj/_- <br /> ' <br />