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U01 I01LUIt) IJ:�d <br /> (FAX) P.0011001 <br /> A521-ER VIM— <br /> -4 <br /> �N L D <br /> -� <br /> SAN JOAQUIKI C,,,)RUSH EF0 LOG NUMBEP <br /> AUG 16 2016 ENVIROKMENTAL HEALTH DEPARTmENT <br /> 1868 East Hazelton Avenue, Stoct,ton, CA 95205-6232 <br /> [kphone, (209)468 420 Fty:(209)464-0138 ktVeb.,wv,,y.Gjgov,org/e Id <br /> f3T FBF, ITEC ACES , PUBLIC RECORDS RELEASE APPLICAT(ON <br /> 72 r7. 'EssIAGEi4cy: Advanc6d GsoEnvironrrental <br /> APPLICANT, JO F,r-,I , 2usil, <br /> ADDRESS: 3335 F. [Airaloma Ave, CITYISTATE(Z(P: Anaheim, CA 92=9)0(p <br /> 800-511-9300 PHOKE(2): y:jj-fttL= FAX OF,E-mAIL:jtran adygeoenv.com <br /> Please allow 10 bashess days from data of sppNcatlon submittal for Vie records to be available. <br /> Staff will contact you to arrange an appoIntment date and the to review the requested records, <br /> A If <br /> )-41 CHECK Sol,To EXPr7r)7E REQUEST-$649e-FEE(CAH OP.C1. QNILY)-REQ. P LESED IN 3 BUSINESS L1,8,YS L `_9 I <br /> SIGNATRE OF APPLICANT <br /> DATE August 01 2016 <br /> 1. List up to ter,addresses In the Gp2ce below. Select the typo(c) Of fliesfrom the Ict but w by checking the 2pproPriate <br /> box(ers). At least one Me type MUST be selected. Fax to(206)464-01-19 or m2 to the address Indicated . Addmt:r, <br /> rang?a5 will not be accepted.ApplIcationsi received after 31:00 pm will be pros sed the next buslnesa day. <br /> Z.. For assistance In lcfentl�lflnjj the nature and Content of EHD n2carda, please ocritact EHD at the number noted above. <br /> 3. The EHD will notify the applicRnt if rny EHD files erlat. An appointment for rov[ow will be confirmed appraylmetefy ten (i 0) <br /> d2ye after receipt of application. The files will be held for a maximum of five business d2ye for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any file not returned In the same condition as relearsd will be morgantzed by EHO ataff at the arparise of the zp plicent. <br /> Future fill reviews by the SP-Mg 9PPIIC2nt may require a$130 deposlt prior to review. <br /> VIVIE"t.1-A N1 D S E PTIC P E RIM,IT RE C CIRZ D S A IR Ez AANVAI 111 SLE FO R R EVI EW: 10,OKI DAY-F R!DAY E.:0 0 AM 5:00 PE6 tipyr Li <br /> Electronic Information; ❑ List 0 Map- escrl tion: <br /> Specific Date Tanga of Informadon Requested: From to <br /> FNVjR0WN1,PkTAL <br /> HEALTH DEPARTMENTFILE ADDRESS <br /> FILLS I EHD USE ONLY " <br /> [9 UND-nGrouND TANr,(UST) Strout street Remo ciry <br /> CLEANUP 617E(LOP) -LOF tCPtPf- ' <br /> Ur) 0,_�) GONeUNIER <br /> Ej 07HER CLEANUP S17E(NON 310 S. California Street, <br /> [E]HA�AAbOUS WASTE <br /> x XU'2 -r�v Z)- <br /> TIERED PERMITTE FACIL <br /> AVOVU;,ROVNQ TANK -,Lo 328 S. Cailfokenia Street, Stockton yoo <br /> UST (MONITORING/REM. <br /> F.V's <br /> HAzAnous VATPFLw_S <br /> SPILUR€LEASE RESPONSE �/-_.R DUAL" <br /> F-1 SOLID W&S7E FAC[LIrY/VEHCLL <br /> FOOD FAcILITY <br /> POOL/SPA <br /> Do— <br /> M LAND USE APPLID'ATI:W SIT-ES <br /> SEPriC PLIUPER TRLICK I <br /> YARD I CHEMICAL Tom_Efir <br /> WASTEWATER TREATsAENT PLAN- T qCUPA1 <br /> Hoissmo A&A:i EMINT <br /> I,407ELMO7EL T_ <br /> rj CHI-CKEN RANCH/L)DQ KENH6L C UP A 0AZ.WA-T <br /> F1 MEDICAL WASTE FACILITY <br /> E]7ATT08f800v-AFRSINCZ SP.IC Ov"7-3 <br /> []\'YASTE TINE <br /> F-1 COMPLAINT <br /> CrTHFR(PLEA13E SPECIFY)! <br /> "`SC)XEP AREA EHD QSE ONLY- <br /> 7; PAr.nrri_,;, riArf by _Rf;aff_PPR Comnlate- Staff blame:1 v e d T I fri PTIZ.1i. 16. 0 1 6= 1 : 2 2 P MF�N c. 1110 8 <br />