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■ v/f vrLVIK I1.w UH+V r.vv lrvvl <br /> t � BtEQg IVE® EHD LOG NUMBER <br /> :■ �!/ SAN JOAQUIN COUNTY <br /> JUL. 9 7 2011 7-1-71868 <br /> HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 ` <br /> • N )-�F�� Telephone: (209)488-3420 Fax:(209)484-0138 Wab:www.sjgov.org/ehd <br /> PERMIT/SEMCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rene Toth BUSINESS/AGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton, California 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): FAX OR E-MAIL: 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 arrange an appointment date and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDITREo EST- 13 F E(CA aft NLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT � �� DATE 07/17/2017 <br /> 1. List up to ten addressee In the c o I t typ e) filtO From the list below by checking the appropriate <br /> box(ea). At leant one file type MUST be selected. Fax to(2091464-0138 or mall to the addrese Indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will he 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 applicant If any EHD files exist An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of appllcation. 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 rsvlew. �;. <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 <br /> FILES EHD USE ONLY <br /> • O UNDEROROIINO TANK(UST) Street street Name city <br /> CLEANUP 31re(LOP) �CCweuNp <br /> ❑X OTHER CLEANUP SITE(NDN-LOP) ' 4025 Coronado Avenue Stockton 'Lw1Lj(2 f VM Z^ ,,L,I /, <br /> Q HAZARDOUS WASTE r ( ti f r 1 l <br /> ❑CAW <br /> ®TIERED PERMITTED FACILITY r 4033 Coronado Avenue Stockton <br /> ®ABOVEGROUND TANK <br /> Q UST (MON)TORING I REMOV I3 FWe <br /> O HAZARDOUS MATERIALS J 3807 Coronado Avenue Stockton } ��/L1_♦. tot-- pd, h� <br /> ©SPILURELEAUE RE6PON8E �t�t^LTJ✓ ����'11��1 . lRl to <br /> U]SOLID WASTE FACILITY/VEHICLE aWATFA OUAIITY <br /> 4119 Coronado Avnue Stockton <br /> FlFWD FACIUY Af C C <br /> ❑POOL/SPA 3DE MrcaAIM <br /> ❑DAIRY <br /> ©LAND WE APPLICATION SITES <br /> ❑SEPTIC PUMPER TRUCK/ E3 HovsmD <br /> YARD/CHEMICAL TOILETS M1 y,11 /IA <br /> ❑WAVENATER TREATMENT PLANT • 1 I/Y'. <br /> CUFA <br /> ❑HOUSINGAIIATEMENT T <br /> ❑MOTEJI-IM81L <br /> CHICKEN RANCH/DOG KENNEL COPA-UBT <br /> MEDICAL WASTE FACILIN a <br /> p TATTOOMODY PIERCINO <br /> ®WASTE TIRE OMO WASTE <br /> s <br /> ©COMPUIm <br /> OTHER(PLFASE SPECIFY): ACWUNIIIW <br /> 10 <br /> • "BOXED ARREA-EHD UBE ONLY"' <br /> mIL 0 C?Ie <br /> I f) 3<111AG <br /> O Records provided by StaWPPR Complete. Staff Namu <br /> Received Tlrne'Jul. 17. '2011- 1 : 37P1rNo. 1902 <br />