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05111312016 11:-.. (FAX) P.0011001 <br /> 0 a,p��EKED- <br /> _ _C <br /> qp t9� <br /> __uc% 9 Lt <br /> DATE REPglyED I SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> MAY, 13 20 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue,Stockton,CA 95205-6232 <br /> EIVVIW€NMENTALH Telephons: (209)4683420 Fax:(209)464-0138 web:www.sjgov.org/ehd tttfff <br /> PERMIT63ERVIGES PUBLIC RECORDS RI=LEASE APPLICATION <br /> APPLICANT: Rene Toth BUSINESS/AOENcY:Advanced GeoEnvlronmental <br /> ADDRESS: -37 Shaw Road CITY/STATE/ZIP:Seton California 95215 <br /> PHONE(1): (209) 467-1006 PHONE(2): FAX OR E-MAIL: RToth@edvaeoenv.ccm <br /> Please allow 10 business days from date of application submittal for the records to be avallable, <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. List up to ten addressee In the pe.e Blow. S®eat the pe( o' ss from the list below by checking the appropriate <br /> box(es), At least one file type UST bs selected. Fax to(209)464-0138 or mall to the address IndleAted 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 flies 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$130 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-3:00PM(EXCLUDING HOLIDAYS) <br /> Electronic information: ❑ List❑ Map—Description! <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS JEHD <br /> � fl-c4�) S, 1/_/,(� <br /> FILES EHDSE 0 <br /> NLY <br /> ®NNDEROROUND TANK(UST) Street# Street Name city <br /> CLEANUP SME(LOP) a CONSUMER <br /> OTHER CLEANUP SITE(NOWLOP 2826 Teepee Driven{f'e$tOCktOnI HAZARDOUS WASTEIQITIEREDPERMRTEDFACILI : 2735 Teepee Drive N StocktonOZ <br /> ANOVEGROUND TANK '(Y <br /> LIST (MONRaPoHa I REMOVAL) ❑PWS <br /> O <br /> ® <br /> HAZARDOUS MATEPoALB - <br /> �(SPILURELEASE RESPONSE <br /> ®SOLD WA UE FACILITY I VEHICLE a WATFA WAVTY <br /> ❑FOOD FACILITY <br /> i <br /> ❑POa.I SPA [�Sire MITIOATd! <br /> ❑DAIRY a <br /> ®LAND U81i APPLICATION SITES <br /> p SEPTIC PUMPER TRUCK I ©HOUbNO <br /> E <br /> YARD I CHEMICAL TOILETS <br /> ®WASTEWATER TREATMENT PUNT dCUPA <br /> ❑HOUSING ABATEMENT T <br /> ❑MoTEUHOM / <br /> n CHICKEN RANCH I DOG KENNEL ®CUPA`HAZ-MAT <br /> ❑MEDICAL WASTE FACILT' E <br /> ❑TATTOLVSODY PIERCING / <br /> �evuD WAvrE <br /> ®WASTE TIRE S <br /> ®CO IPWK <br /> Q OTHER(PLEAR SPECIFY): ALccvenw <br /> 10 <br /> '"BOXED AREA-EHD USE ONLY'. <br /> S^2 <br /> f ? - r <br /> II Rcrnr a nrn�Ariarty Ctaff-PPLZ C rnnIa A staff Kama: <br /> Received Time=Ma <br /> Y. 'No. 0799 <br /> CnM wwv <br />