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}� 0512212017 15:40 (FAR) P.0011001 <br /> RECEIVE • <br /> DATE RECEIVED ]PL y.23 SAN JOAQUIN COUNTY EHHD'LOG NUMBER <br /> 1;�( 4 [: GUY a''+'4' ENVIRONMENTAL HEALTH DEPARTMENT �(—t 7A <br /> 1686 East Hazelton Avenue, Stockton,CA 95205-8232 r��f/ll ( I` <br /> CNYIc4t�NMLIdffALHlll1LTHfelephone:(209)488.3420 Fax:(209)464-0138 Web:WWW-Sjg0v.org/ehei V <br /> PElRffITf5tf PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rene Toth BUSINESS/AGENCY:Advanced GeoEnvironmental, Inc, <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP:Stockton, California <br /> PHONE(1): 209-467-1006 PHONE(2): FAX OR E-MAIL: RtothAadvgeoenv.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange anappo in cti�te and time to review the requested records. <br /> ❑ CHECK BOX TO EXPEDI ROU T-$13 EEC"( H CH�t;iK ONLY)•REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 11 DATE 05/22/2017 <br /> 1. List un to ten addresses In the zp OR ow, lect the typ s o les from the list below by checking the appropriate <br /> box(es). At least one file type MU be selected. Fax to(2091464-013 or mall to tha odd ase Indicated above. Address <br /> ranges will not be accepted.Appl cations 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 atter recelpt 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$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM•5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑Map—Description: <br /> Specific Date Range of Information Requested; From to <br /> ENVIRONMENTAL P13 <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> ❑x UNDERGROUND TANK(LIST) Street$ Street Name city <br /> CLEANUP SITE(LOP) /U(,L fTVIJ �h��t []CAx6uMLA <br /> ® <br /> OTHER CLEANUP SITE(NON-LOP) <br /> 3568 Arch Road N tockton <br /> HAZARDOUS WASTEv2 L (]DAwY <br /> ❑x TIERED PERMITTED FACILITY E 3131 Arch Road Stockton i <br /> O ABOVEGNOUND TANK VV <br /> ❑Xq UST (MONITORING I REMOVAL) DPWS <br /> ^J <br /> HAZARDOUS MATERIALS t�� 4943 CA-99 Stockton t1D U�JT CJ/'�12 <br /> ®SPI URELE0.9E RE8PON8E�X -� (�/_'� /-,/I1 WATENGIIAL" <br /> SOLID WASTE FACILITY/VEHICia, , 4855 S CA-99 Stockton IrYU �l <br /> F000 FACILITY �y <br /> FI POOL/SPA /'� BITEMITAMTIDN <br /> DAIRY S <br /> p LAND USE A~ATION 8DIES p{bunxu <br /> ❑SEPDG PUMPER TRUCK/ <br /> S <br /> YARD/CHEMICAL TOILETS <br /> E]WASTEWATER TREATMENT PUNT CUPA <br /> rj HOUSINOAEATEMENT T <br /> ❑MOTEUHOTEL <br /> ❑CH...RANCH/DOO NENNEL CUPA-UST <br /> ❑MEDICAL WASTE FACILITY E <br /> ❑TA"COMODY PIERCING MID WASTE <br /> ©WASTE TIRE <br /> e <br /> (2 COMPLAINT <br /> p OTIERIPLEASE SPECIFY)' ❑AODANhw <br /> io <br /> ^BOxEP AREA•END USE ONLY'•' <br /> 5 1}-1`t^4 11e� T rn eQ e H e c1w Di k•k,, L tLAiII (7., reuaT�. v� <br /> US `, 5 <br /> ❑Records provided by Staff-PPR Complete. 91Aff Nem-: - <br /> Received Time=May. 22. '2017= 3: 13PNFNo, IDD) <br /> !,"."Jb"i;HIeNe <br />