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aE 05/4812016 11:-. , ti (FAX) P.0011001 <br /> Ell DATE REFElypD, EHD LOG NUMBER <br /> SAN JOACaUIN COUNTY <br /> e� <br /> MAY. 13 2016 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue,Stockton, CA 95205-6232 <br /> F ROMMENTAL HEALTHTelephone:(209)4683420 Fax:(209)464-0138 Web:www.sigov.org/ehd ���.••fff <br /> PERmiTsEWCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Bene Toth BUSINESS/AGENCY:Advanced GeoEnyirOnmental <br /> ADDRESS: X37 Shaw Road CITY/STATE/ZIP:ajQQktOr1 California 95215 <br /> PHONE(1): (209) 467-1006 PHONE(2): FAX OR"AIL; RToth@sdvgeoenv.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 /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 5/13/2016- <br /> 1. Llet uo to ten addresees in the pa a slow. se ect the t e( o es from the list below by checking the appropriate <br /> box(es). At least one file type UST be selected. Fax to(20E)454•D138 or mall to the address Indleat d ab ve. 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 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•5:00PIA(EXCLUDING HOLIDAYS) <br /> Electronic information: ❑ List[-] Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMEHEALTH DEPARTMENT FILE ADDRESS - 4 f' S �an)Yt- <br /> FILES Y EHD USE ONLY <br /> 91 UNDERGROUND TANK(UST) street# Street Name city <br /> ' CLEANUP SITE(LOP) COXBIIYER <br /> + 2826 Teepee DriveN(f Rtnrlrtnrl N i / <br /> OrMEA CLEANUP SITE(NON•LOP �� �� " / <br /> 1{ ®HATAROOVB WASTE _ Dmw <br /> 1 IitITIERED PERMITTEEDFAOILI E 2735 Teepee Drive N Stockton 07, <br /> Q ADOVEGBOUND TANK Z <br /> gi UST (MONUcRNNGIRE"0VAL) E]PWS <br /> ®HAZARDOUS MATERIAL® S <br /> ISI SPILURELEASE RESPONSE WATER WAIIT' <br /> ®SOLD WASTE FACILITY/VEHICLE A <br /> ❑FOOD FACILITY <br /> ❑POOL/SPA Ed SITE MmoATal �!L <br /> ❑DAIRY <br /> ®LAND USE APPLICATION SITES <br /> p HDuaxC <br /> 05EnCPUMPERTRUCK I , <br /> YARD/CHEMIOAL TOILETS <br /> ®WASTEWATER TREATMENT PUNT g(CUPA <br /> ❑Houma ABATEMENT T <br /> ❑MOTEUHom <br /> F1 CHICKEN RANCH I DOG KENNEL - CUPA-HAL-MAT <br /> 0 <br /> ❑MEDICAL WASTE FACILITY <br /> ❑TATTCOJSODY PIMRDING evuD WAPn <br /> ®WASTE TIRE y <br /> ®COMPWNT <br /> ❑OTHER(PLEASE,SPECIFY): ❑AaouxnxD <br /> 10 <br /> ( •BOXED AREA-EHDUSE ONLY— <br /> ffiz.,nrefm <br /> nry+virinrl r Ctaf f-PPR r:r)rnnin o staff game: <br /> Received Time=May. 13. -2016=11 :21AMFNo, 0799 <br /> cw Aswv <br />