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011M 10127112x+0.116 09:54 AX) P.0011001 <br /> •■ RECEIVED '. HD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT [�4917.,ocr 2 7 2oib 1888 East Hazelton Avenue, Stockton, CA 85205-8232 <br /> • Telephone: (209)488.3420 Fax:(209)464.0138 Web:www.sjgov-org/ehd <br /> FNIAROIMMEPLIIREALTY{ PUBLIC RECORDS RELEASE APPLICATION <br /> ��4ArrtR � <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnv(ronmental Inc <br /> ADDRESS: _837 Shaw Road CITYISTATE21P:Stockton, CA 95215 <br /> PHONE(t): 209467-1006 PHONE(2): 209.623-7200 FAX OR E-MAIL: lnataI@advQeoenv.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 /> CHECK BOX TO EXi F REEQ`'UEESSTT,-$139 F PROCESSED IN 3 BUSINESS PAYS <br /> SIGNATURE OFAPPLICANT_tPhe a "` "ASH OR CH ONLY)-REQUEST PROCDATE O 2rI <br /> 1. Llsl up to ten addresses in space below. I t the type(s)of files from the list below by checking the appropriate <br /> box(es). At least one file type MUST he selected. Fax to(2091484-0138 or mail 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 files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files 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 <br /> HEALTH DEPARTMENT FILE ADDRESSFILEHD USE ONLY <br /> • VNOERORCUND TANK(UST) Street Street Name city <br /> GmANVP Sirs(LOP) ' Lap Lt3 ❑CONSUMER <br /> $OTHER CLEANUP SITE(NONmLOP) 303 SCherokee Ln Lodi <br /> HA2ARDoue WASTE O DNM <br /> TIERED PERMITTED FACILITY s 420 S Cherokee Ln Lodi <br /> %kADOVYGROUNDTANK "NV. C <br /> k CIO, <br /> 19 LIST (i I REMCVAL) Q�j r'1 ❑PWS <br /> HAEARDOVSMATERIALS ' 612 S Cherokee Ln Lodi ,�nn <br /> SPILURELBASE RESPONSE _ <br /> SOLID WASTE FACILITY I VEHCtE K 401 SCherokee Ln Lodi Ell WATER OVAL" <br /> L]FOOD FACILITY <br /> ❑POOL/SPA am MmWTION ^I htLry <br /> DAIRY 6 <br /> LAND USB APPLICATION SIM - <br /> SEPTIC PUMPER TRUCK/ 0 HOLMNC <br /> E <br /> YARD/CHEMICAL TOILETS <br /> ❑WADTEWATERTREATMENT PUNT CUPA <br /> n HOUSINGASATENENT T <br /> 71 MOTEUHOTEL <br /> CHICKEN RANCH/Doo KENNEL GGPA-UST <br /> n MEDICAL WASTE FACILITY 6 <br /> ❑TATTOO/BODY PIERCING <br /> ❑WASTE TIRE ❑Salo WAUTi <br /> P <br /> XcOYPIAINT -- <br /> 0 OTHERIPLIEASE SPECIFY): C1 A=ux,No <br /> 10 <br /> • "'RIQXED AREA END USE ONLY"' <br /> O Records provided by Staff-PPR Complete. sulr Name: <br /> Received Time Oct. 27, -2016— 9 : 34AM—No. 0233 <br />