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fee 12/21/2017 08:43 TAX) P.0011001 <br /> REPpIVE® <br /> .I <br /> f DATE REC v tf SAN JOADUIN COUNTY EHD LOG NUMBER <br /> •� DEC 21 2017 �0/tib 1688 East ENVIRONMENTAL <br /> Avenue,HE SLTH DEPARTMENT <br /> 95205 T <br /> • 32 <br /> ENVIRONMENTAL HEALTH Telephone: (209)468-3420 Fax: (209)464-0138Wabtwww.sjgov.org/ehd l� <br /> PERMIT(SERACES PUBLIC RECORDS RELEASE APPLICATION J <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton, CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2):209 23-7200 FAX OR E-MAIL: rnatal@adygeoenv.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 /> Q CHECK BOXTo EXPEDITE REOUEyg.T,, $138 FEEr <br /> 7/1 OR/gHECK ONLY).REQUEST PROCESSED IN 3 BUSINE 5 D YS <br /> SIGNATURE OF APPLICANT J,/7grz 7// /�:/J°U DATE I0 ' l <br /> 1. List up to ten addresM In thea ace Blow. Se ee tt� a -of files from the list below by checking the appropriate <br /> box(ea), At least one file type MUST be selected. Fax to(209)464-0138 or mall to the addraas 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 appllcant If any EHD files exist. An appointment for review will be confirmed approximately ten(I D) <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-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map--Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS 11 EHD USE ONLY <br /> FILES <br /> • 0 UNDERGROUND TANK(UST) Street# Street Name City <br /> X CLEANUP SITE(LOP) 870 Dave Brubeck Wf✓ CONDUMN <br /> ®OTHER CLEANUP SITE(NON-LOP <br /> ay Stockton <br /> ®HAIAROOUa WASTEC]DAIRY <br /> IX1 TIERED PERMITTED FACILITY 2 870 W Stadium Drive Stockton J <br /> ❑x AeOvCGROIIND TANK <br /> ®UST (MONITORING I REMOVAL) [3 PWS <br /> ❑x HAZARDOUS MATERIALS 806 W Stadium Drive Stockton <br /> Q SPlu/RELFASE RESPONSE k .reP DNFLIN <br /> ❑sOUD WASTE FACILITY r VEHICLE y 810 W Stadium Drive Stockton 1 <br /> ❑FOOD FACILITY <br /> ❑POOL/BPA ` ` Sne MmonTlou <br /> ❑DAIRY /)`Z\)t 6 828 W Stadium Drive Stockton 1Dt• <br /> IJ LAND USE APPLICATION SITER <br /> / 0 HOU61wJ <br /> Ij SEPTIC PUMPER TRUCK/ \y <br /> 678 W Stadium Drive Stockton <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTEWATER TREATMENT PLANT COPA <br /> QHOUSINGAeATPMENT T 676 Dave Brubeck Way Stockton J Asc <br /> MOTEUHOTEL IANNW <br /> 0 CHICKEN RANCH/DOG KENNEL / DOPA•LIST <br /> ❑MEDICAL WASTE FACILITY a 676 W Stadium Drive Stockton— ✓ <br /> n TNTTOOTBODY PIERCING _ SOUo WAerE <br /> ❑x WASTE TIRE 676 Dave Brubeck Way Stockton <br /> 9 <br /> © <br /> COMPLAINT <br /> ❑OTHER(PLEASE SPECIFY)' 0 Acct/ INC <br /> Ta 2420 S California Street Stockt <br /> • "'BOXED AREA.EHD USE ONLY^ <br /> I <br /> 140 , a- 1 i c aeti, i. n <br /> I <br /> CI Records provided by Staff-PPR Complete. sniff Name: <br /> Received Tlrne9ec. 21. =2W1 8 : 094f:No2769 <br />