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08/13/2015 13:29 �Q I'.UUIIUV1 <br /> ^^^^1I <br /> RECEIVED <br /> ■■ ENO LOG NUMBER <br /> ■ DATE RECEIVED SAN JOAIQUIN COUNTY 1 <br /> ■ AUG 13 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTALHEA��phone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PERMIT(SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Rebecca Natal BUSINESSfAGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATEIZIP:Stockton, CA 95215 <br /> PHONE (1): 209-467-1006 PHONE(2):209-562-2076 FACSIMILE:209-467.1118 <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 RE ST $130 F E(GASH EM-YE/ <br /> EST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 8-13-2015 <br /> Electronic Information: ❑List❑ Map-Description: <br /> FEHD USE ONLY <br /> FILE ADDRESS <br /> _ <br /> Street 4 Street Name City ,O`,Urllt 1 <br /> T: 1. 1371 East Pine Street Lodi k/ C <br /> 2, 1 WinamastersWay Lodi Lta,"X 14 1{\./ 71Unit2 z� <br /> 3. l R w. QtV / /4+1 <br /> 4. p 5T0 Unita <br /> 5. - 1 . .BITE MITIGATION <br /> 6. �,ef1oN 1(J F!( (.0 'd It 4' <br /> 7. tf <br /> 8. g�7ti'i5 ❑Unit B <br /> 10. l El Unite " <br /> Specific Date Range of information Requested: From All to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 01 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MENCALWASTE FACILITY SOLID WASTE FACIIMIVEHICLE <br /> ®OTHER CLEANUP SrrE(NON-LOP) ❑HOUSING ARATEMENT ©WASTETIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ©DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCIV DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> �HAZARDOUS WASTURAZAROWSMATERIALS ❑MOTEUHOTEL ❑PUMPER TRUCKIYARDICHEmICALTOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOLISPA- ❑O LAND USE APPLICATION SITES <br /> ❑TATrO0ID0OY PIERCING ©COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> W ELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax. rongL dAd nt zs nr mall to The address Indicated 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 flies 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$126 deposit prior to review. ""BOXED-AREA_EHD USE ONLY"' <br /> nsJA�l CLe - /C ✓tC 4 NJ w 14A n w L 1 c0 far �i ltps� <br /> A -to -R re �1� v16 r UMer t vv re o <br /> l ll -er wlet <br /> ❑ Records provided by Staff-PPR Complete.Staff Name: sn,nr <br /> eived Tim AIIe 1. __ 3_2015 1 :22PM No. 46—'� <br />