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f09113/2017 16:30 (FAX) P.0011001 <br /> ■ <br /> �■DATE Rf �� SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> •r <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> OE SEP t 4 2017 Rm' 1: (2 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> /S <br /> Ta�ephone: (209)488-3420 Fax: (209)484-0138 Web:wwwsjgov.orgfehd <br /> ENVIRONMENTALN PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICA Ra I RUSIN ESSfAGENCY:Advanced Geo Environmental, Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton, CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2);209-623-7200 FAX OR E-MAIL: rnatal@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 revlew the requested records. <br /> [-] CHECK BOX TO EXPEDITE REQUEST- 39 EE( HECK O Y)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 09/13/2017 <br /> 1. List up to ten addresees in the space below. Select tne ty e(s)o tiles from the list below by checking the appropriate <br /> box(es), At least one file type MUST be selected. Fax to 209)404-0138 or mail to the address 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 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 live business days for review. Appointment$ <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:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic information: ❑ List❑ Map— Description: <br /> Speclflc Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> 7 <br /> ©UNDERDROUND TANK(UST) Street Street Name City <br /> CLEANUP SITE(LOP) I / ❑LONEUYER <br /> FX OTHER CLEANUPSUE(NOWLOP) ' 1305 W Fremont St Stockton - <br /> a <br /> O HAURDDUS WASTEri Danv <br /> FX PERM EDFACIL z 1302 W Fremont StG Stockton C8 �� <br /> O ABoVEDRDuND TANK <br /> ❑X UST (MONITORINOI REMOVAL) J <br /> ( . .n C 0 PWB <br /> RX HA>ARwDS MATERIALS ' 1325 W Fremont St Stockton G. <br /> O SPI[_L/aELEAEE RESPONSE <br /> WATER QUALITY <br /> SOuAS <br /> o WASTE FACILITY I VEHICLE , 1330 WFremont St Stockton <br /> ❑FOOD FACILITY <br /> ❑POOL I SPA ❑SITE MInOATIOH <br /> I]DAIRY ° 1245 W Fremont St Stockton N�� <br /> ❑X LARD UDE APPLICATION SITES <br /> ❑SEPTIC PUMPER TRUCK/ ❑HDV8IMB <br /> 529 r <br /> YA.I CHEMICAL TOILETS ° Ob e StOC tOn <br /> O WASTEWATER TREATMENT PLANT ACUPA <br /> ❑HOUSIKO ABATEMENT T 545 N Orange St Stockton r_ I�h'� <br /> F]MOTEUROTEL �L ri W <br /> ❑CHICKEN RANCH!000 KGNN°L ❑CUPA-UST <br /> ❑MEDICAL WASTE FACILITY e 1 234 W Oak St Stockton <br /> ❑TATTOOISODY PIERCING <br /> Q SOLID WAVE <br /> O W MPILAI T 9 1 220 W Fremont St Stockton <br /> ❑X COMPLAINT GL *` <br /> ❑OTMER(PLEASE SPECII'Y): �, Jv C Accgl,mxD <br /> 0 1348 W Oak St Stockton <br /> —BOXED AREA-EHD USE ONLY-- <br /> 6tlg�� A343 rect4t <br /> 5 D �g 0, 1 41'1 qs <br /> Received TimeidSep 13, i2011c 4:00PM71c. 2293 <br /> EHD AB-oe __ <br />