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011121201E 15:51 (FAX) P.0021002 <br /> RECEIVED EHi)LOG NUMBER <br /> nATE RECEIVED SAN JOAQUIN COUNTY <br /> !AN 12 20180 ENVIRONMENTAL_ HEALTH D'EP'ARTMENT <br /> o'0�''r `5�'— t 1868 East Hazelton Avenue, Stockton, CA 95205-8232 <br /> EWFI €1TM 7efephone: (209)468-9424 Fax: (209)464-0138 Web:www.sJgov.org/ehd <br /> PEW[T15[etlE- PUBLIC RECORDS RELEASE APPLICATION `53 7 <br /> APPLICANT: Rebecca Natal' BUSINESSIAGENCY:Advanced GeoEnvlronmental, Inc- <br /> ADDRESS: 837 Shaw Road CITY/STATEOP:Stockton CA 95215 <br /> PHONE(1): 209-467-1008 PHONE(2):209 23-7200 FAX OR E-MAIL: rnatal0Dadv9eoenv-cam <br /> Please allow 10 business days from date of appllcatlon submittal for the records to be available. <br /> Staff vdll contact you to arrange an appointment date and time to revlew the requested records, <br /> Q CNI-CK BOX TO EXPEDITE REQUEST-31 C FEE , OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 01112/2016 <br /> 1. )-let Up to ten addressee In the apace below, Select Ia ty a s)of files from the list below by checking the appropriate <br /> box(ea). At least one file type MUST be uE or mail 12 the.address Indicatedabove. 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 PHI)at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD flies exist. An appointment for review will be eonflrmed approximately ten (10) <br /> days after receipt of appllcation. The fllea 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 reorganlzed 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. 2 <br /> WELL.AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> E=lectronic information: ❑ List ❑ Map–Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS EHD USE ONLY <br /> FILES <br /> X UNDEROROUND TANK(UST) Street Raffle C'Ity11 <br /> X CLEANUP SITE(LOP) I'il��,1-Yyi;. y ©C�NQ1+�11R <br /> �( C3THER CLEANUP$17'G(NON-LflP) 1 4747 West Lane Stockton fli R%'0 t� I <br /> 1 5 <br /> ❑HAWWLIS WASTE - i-F�EF-1(J i 6J'r 1)) ❑UAW <br /> nTIERED PrAMITEDFACILITY z 4715 West Lane Stockton I dV\- Iktk)Coa,0. <br /> ❑ASpVEOROIIND TANK _ `r7 <br /> ©UST (MONITORING I REMOVAL) l��L�VV I `� , 3 14I��" 114 n <br /> p HAIARDOUS MA7ER1A15 a 4629 West Lane Stockton 6y <br /> [kj,SPILjRI_LEASr;REBPONaF - Q WATER QUALITY <br /> ❑SOLID WASTE FACILITY f VEHICLE E <br /> ❑FOOD FACILITY <br /> SITE MITK)ATICN <br /> ❑POOL)SPA <br /> ❑DAIRY a <br /> LAND USE APPtZATION SITES (�HOUAme <br /> SEPTIC PUMPER TYTUCKI <br /> 6 <br /> YARD P CHEMICAL TOILETS <br /> WASTEWATER TREATMENT PLANT CL1PA <br /> j, <br /> HOU81RU AUATLULNT T <br /> ❑MC7EJHOTEL I°�l�rit✓ <br /> CHICKEN RANCH I Dat➢KFNMrL jNtCLIPA-UST <br /> rl MHDICAL WASTE FACILITY 0 <br /> 0 TATTOOIBcOY PIERCING 0 soup WAIT[ <br /> WASTE TIRE <br /> 8 <br /> COMPLAINT <br /> ®OTHfR(PLEASE BPECiFY)„ - AccouNTINO <br /> 10 <br /> ^003ED AREA-VD USC 2NL - <br /> 1L _C<,klz�� <br /> 12 Records provided by Staff-PPR Complete. staff Name: <br /> Recei ved T1rme—Jan, 12. —2018— 3: 16RM—N©, 2890 <br />