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DECEIVED <br /> SAN J QA Q U I N MAY 13 2018 Environmental Health Department <br /> -COUNTY------ PUBLIC RECORDS RELEASE APPLICATION <br /> iiiEW <br /> F'EI�MIT/S � v MAIL 4Z M �aa W <br /> • EHD LOG NUMBER. <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnvironnlental,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 review the requested records. <br /> SIGNATURE OF APPLICANT DATE s;23;2018 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138, mail to the <br /> address indicated below,or email to info(o)sicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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 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$152 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 FILE ADDRESS <br /> HEALTH DEPARTMENT (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> FILES <br /> Q Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) �W ❑CONSUMER <br /> Q 121 E Lindsay St Stockton <br /> • ❑K Hazardous Waste ❑DAIRY <br /> ❑X Tiered Permitted Facility 2 118 E Fremont St Stockton <br /> Q Aboveground Tank �'� ` �1I <br /> PWS <br /> Q UST (Monitoring I Removal) ❑ <br /> 3 417 N Hunter ckton <br /> Q Hazardous Materials <br /> Q Spill/Release Response <br /> ('3/WATER QUALITY <br /> °Solid Waste Facility/vehicle 4 419 N Hunter kto n <br /> °Food Facility • <br /> ° Pool I Spa © ITE MITIGATION <br /> ° Dairy 5 423 N Hunter 01h kton <br /> Q Land Use Application Sites <br /> El HOUSING <br /> °Septic Pumper Truck/ 6 120 E Fremont ckton <br /> Yard/Chemical Toilets • �- <br /> °Wastewater Treatment Plant COPA <br /> °Housing Abatement 7 124 E Fremont j • ckton AST IHMIHW <br /> ° Motel/Hotel <br /> Chicken Ranch/Dog Kennel t`�"��✓ If UPA <br /> ° 8 400 N EI Dorado St Stockton y�IN'� UST <br /> °Medical Waste Facility w�Q <br /> F-]Tattoo/Body Piercing ❑SOLID WASTE <br /> °Waste Tire 9 404 N EI Doradockton <br /> Q Complaint • • <br /> °Other(Please Specify): ❑ACCOUNTING <br /> 416 N EI Dorad ckton L I <br /> ***BOXED AREA-EHD USE ONLY*** <br /> UA�oi >• <br /> i <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sjcehd.com <br />