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r <br /> EHD LOG NUMBER <br /> lamoA7li9 r ,.� �' - SAN JOAQUIN COUNTY <br /> m (ly� p 868 Ea RONMENTAL HEALTH on, ARTM �H <br /> ■% 5/9v sS 2Ly16 10 1868 East Hazelton Avenue, Stockton, CA-9520 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.slgov.org/eh <br /> ENVIROW,4EMTALHEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> D <br /> APPLICANT: JaCKIe Hyman BUSINESS/AGENCY: Advanced Geo Environmental <br /> ADDRESS: 3335E Miraloma Ave Suite 142 CITYISTATE/ZIP: Anaheim CA 92806 <br /> PHONE(1): 800-511-9300 PHONE(2): - FAX OR E-MAIL: ;human advaeoenv.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 /> X❑ CHECK BOX TO EXPEDITF RFOUFST•$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 27 June 2016 <br /> 1. List up to ten addresses In the space pelow. Select the types)of files from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mall 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 beheld fora 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$130 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 /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL a % (�-��-�� <br /> HEALTH DEPARTMENT FILE ADDRESS HD USE ONLY <br /> Y <br /> FILES i� <br /> ®UNDERGROUND TANK(UST) Street Street Name City <br /> CLEANw SITE(LOP) 1 t� A)O 64AP 0Casu"ER <br /> OTHER CLEANUP Sn-E(NoN-LOP) ' 22 Houston Lane Lodi ('rin,,/1/ GV 7 <br /> ®HMARDOUS WASTE 0 DAIRY <br /> ❑TIERED PERMITTED FACILITY 2 28 Houston Lane L I <br /> r. <br /> R1 ABOVEGROUND TANK <br /> Dn,UST (MONTTORING/RENON • 0PWS <br /> I 1 <br /> IJ HAZARDOUS MATERL S 21 Houston Lane Lodi IDLbl <br /> ®SPILURELEASE RESPONSE <br /> ❑SOLIO WASTE FACILRY/VEHICLE <br /> 17 Houston Lane Lodi CRINATe DB Y a <br /> ❑FWD FACILITY <br /> POOL/SPA SITE MITIGATION <br /> ❑DNR S 4 Houston Lane Lodi <br /> ❑LAND USE APPLICATION SITES <br /> 0HOOoi.N= I <br /> ❑SEPTIC PUMPER TRUCK/ B <br /> YARD/CHEMICAL TOILETS _L <br /> ❑WASTEWATER TREATMENT PL & <br /> ANT UFA <br /> ❑HOUSING ABATEMENT T <br /> ❑MOTEUEIOTEL <br /> ❑CHICKEN RANCH/DOG KENNEL COPA-Po Z-MAT <br /> 8 <br /> ❑M®IDAL WASTE Facl[_m <br /> [:] C]TATroo/aoDY PIERCING <br /> soup WASTE <br /> ❑WASTETIRE e <br /> '®CDMPLaNr <br /> ❑0711ER(PL E SPECIFY): ❑ACCOUNTING <br /> tD <br /> —BOXED AREA-EHD USE ONLY"* <br /> sMM L4 I d 4 -7bo0 <br /> RecReveddTime=Je28 Y2016=9P34AINo 10921stBftNBmD: <br />