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R0 1012412014 03:22 pox) ;- 1001 <br /> in DATE RECEIVED SAN JOAQUIN COUNTY L Nulwe . <br /> 1 <br /> t ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4 C-Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/and <br /> lk' <br /> IVIFIONM SV�AL <br /> PF_1R tilll PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Jennifer Beijlklan 13USINESSIAGENCY:Advanced GeoEnvironmental <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-"Tontsttva only-must be co nz►e ) <br /> [:] CHECK BOX TO EXPEDITE QU 6125 FEE (11 �OR CHECK ONLY)-REQUEST PROCESSED IN U Y <br /> t4 <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. 400 Newton Road Stockton M H N sV a <br /> �l 2- 3516 Newton Road Stockton 1+ s MM sT '�S .�S unit2 <br /> 3. 3535 Cherokee Road Stockton srG r�- waf a <br /> 4. 3655 East Cherokee Road Stockton r-'D�w�l-'� Unit3 11 <br /> 6. <br /> 6. <br /> ,.p nit a <br /> 7. <br /> 8. 0 Unit 5 <br /> 9. <br /> 10, j a, B <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES ry� <br /> X1 UNDERGROUNDTANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACIIlTYNEHICLE Ii tib <br /> 0 OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> Q UNDERGROUND TANK(MONFTORING(REMOVA0 ❑DOG KENNEL DAIRY <br /> Q HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATiuiENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPER TRUCKNARDICHEMICALTOiLETS <br /> ❑TATTOO(BODY PIERCING ❑POOUSPA E]LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY (D COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:OD AM-5,0OPM(EXCLUDING HOLIDAYS) <br /> 1. List ups4._ton addmsses In the space above. Select 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 recelpt of application. The files will behold 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 retumed 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$126 deposit prior to review. <br /> OLpo . _S dLe ✓1 <br /> I Id �- oS�l - eu:.bn 07J79�5 'Slam C - <br /> ,� 1 Ieci; /`l m6 <br /> es Y�erck�e. -a Co s G (?0661 3 <br /> EHD 48-08 wifli <br /> CrPfi5)o(a)O0 c tD P -5raS5_Che�k-e,2 4w Rle, UCO 3c&6'57 C�s)UIc) i,o ItoNewfvi) <br /> Received Time Oct. 24. 2014 8:04AM No. 7401 GO eaCrP}5/O1,O) in 351tvnle-10" Qsir F,Ile <br />