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• ■ 11111120116 13:400 (FAX) P.0011001 <br /> mom <br /> sun RECEIVED <br /> END LOG MUMRGR <br /> MOM DATE RFCEIVFI) +� SAN JOAQUIN {COUNTY <br /> Emu NOV 1G ENVIRONMENTAL HEALTH DEPARTMEN -7 <br /> T <br /> .�} -1 H 1868 East Hazelton Avenue, Stockton, CA 95205-8232 <br /> fr�11/1ROA Telephone: (209)468-3420 Fax.(209)464-0139 Web.www.sjgnv,orgfehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Erin Rottacker 13USINESSIAGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP. Stockton, CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): FAX OR E-MAIL:erottacker .advgeoeny.corn <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 /> ❑ CHFCK BOX TO E7(PTE REOULS $1 FEE(CASH OR CHI=CII ONLY)-REQUEST PROCESSED IN 3 BUSINFSS DAYS <br /> SIGNATURE OF APPLICAN r DATE <br /> 1. List yr?to ten addresses "e-space below. Sblect the types es from the liat below by checking the proprlata <br /> box(es). At ieggt one file type MUST be selected. Fax to(209)484-0168 or mall to the addresslRdlcated akgy2 AddrQae <br /> ranges will not be accepted.Applications received after 3:00 pm will be proceaQad the next business day. <br /> 2. For asalatance 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 exlet_ An appointment for review will be confirmed approximately tan(10) <br /> days after racelpt of application, The files will be held for a maximum of five buslneae days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any file not returned In the game 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 8139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:D0PMi(EXCLUDING HOLIDAYS) <br /> Electronic Information: © List ❑ Map—Description: <br /> Speclflc Date Range of information Requested: From to <br /> ENVIRONMENTAL r 'Q(';1 `.� <br /> HEALTH DEPARTMENT FILE ADDRESS EHD USE ONLY <br /> FILES <br /> ®UND2RGnOUND TANK(UBT) 3Veat# Street Name Ciryy <br /> CLEANUP SITr(LOP) f L��_ Z lNBUNER <br /> U <br /> ®OTH.£R CLEANUP 317E(NON-LOP) 2417 'Nest Lane Stockton '^�_ ' I <br /> ®HA2ARf3uv5 WASTE 1�,J /7 ❑Ica DaRy <br /> ®TIERED PERMITTED FACILITY z 1 //� <br /> ®ABOVEGROUND TANK 2413 West Lane 111 _ f Stockton A"I O 601' <br /> ®UST (MONITORING I FEMOVAL - [.i ❑PVNS <br /> ®HAZAR0009 MA7ERIALS ' 2801 West Lane Stockton <br /> SPILLIRPLEABE I�EBPONBe <br /> �SOLIOWAgTE�AelurYIVrHICLS A 7 WATeRquA T <br /> ❑ 2244 West Lane Stockton <br /> FOOD FACILITY <br /> Q POOL I SPA i _ {/ 9Te MITIOATION <br /> ❑DAIRY b 1233 East Ronald Street Stockton f`, <br /> rl LARD USE APPLICATION SITES <br /> r]SEPTIC PUMPER TRUCK CI HoUEIHD <br /> e <br /> YARO 1 CHEMICAL TOILETS <br /> ©WAUTEWATER TREATYNIT PLANT CUPA <br /> ❑HDUSINOAFIATEMENT 7 <br /> MOTELIHOTEL <br /> CHICKFN RANCN/Doe KENNEL CUPA-UST <br /> MEDIcu WAST€FACILrrY E <br /> TATTOOA300Y PIERCING - ❑SOLID WASH <br /> WASTE TIRE 9 <br /> COMPLAINT <br /> OTHER(PLEASE SPECIFY): <br /> 10 <br /> '"`BDX�D ARCA-EHD 116t:ONLY"' <br /> 0 Retards provided by Staff-PPR Complete. stafrnam•: <br /> Received Time=Nov, 11.2016" 1 : 20PNFNo. 0342 <br />