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10124/2014 08:22 ) P.0011001 <br /> i� <br /> I� DATE RECEIVED EHD LOG NUMBER <br /> SAN .IOAQUIN COUNTY ti <br /> � <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> QG 1 2 4 c Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd41 <br /> EN P RM SV1V C"G PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Jennlfer Berjlklan EtUSINESSIAGENCY:Advanced GeoEnvironmental <br /> ADDRESS: 837 North Shaw Road CITYISTATEIZIP: Stockton, CA <br /> PHONE(1): (209)467-1006 PHONE(2):(209)483-3401 FACSIMILE: (209)467-1118 <br /> TENTATIVE`APPOINTMENT DATE: ARAp Time: <br /> (Plane allow 10 business days from data of appllcs8an submittal-•Tanrstive only-must be co rare ) <br /> ❑ CHECK BOX TO EXPEDITE p±ou $125 FEE OR CHECK ONLY)-REQUEST PROCESSED IN <br /> SIGNATURE OF APPLIC DATE <br /> Electronic Information: Eyiistff Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city 10 <br /> UNt1 <br /> 1. 3400 Newton Road Stockton I(Y) <br /> 2. 3516 Newton Road Stockton El Unit 2 <br /> 3. 3535 Cherokee Road Stockton <br /> 4. 3655 East Cherokee Road Stockton 0h'lI A Linit3 ly' <br /> 6. I <br /> pUnk4 <br /> 7. <br /> 6, Ll Unit S <br /> 0. <br /> 10. UnRs <br /> Specific Date Range of Inrormation Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT OSOITDWASTEFACILIrvNEHICLE <br /> El OTHERCLEANUP SITE(NON-LOP) L]FOOD FACILITY ❑x WASTETIRE <br /> Fxj UNDEP4ROUNDTANK(MONIrORINCJR17=AL) ❑DOG KENNEL ❑X DAIRY <br /> QHAZARDOUSWASTEGENERATOR El CHICKEN RANCH ❑WASTENIATERTREATMENTPLANT <br /> Q TIERED PERMITTED FACILITY 0 MOTEIIHOTEL ❑PUMPERTRUCKIYARDIcHEMICALTOILETS <br /> ❑TATFOO/BODY PIERCING ❑POOLISPA ❑x LAND USE APPLICATION SITES <br /> ❑ MEwAL WASTE FACIUTY nxCOMPWNTRECORDS ❑OTHER(PLEASE SPEGFY) <br /> WEL.LANDSEPTIC PERAOTRECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S5OOPM(EXCLUDING HOLIDAYS) <br /> 1. L15t up to ten a dresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one His type MUST be selected. Fax to(2"u"a' '"' 01.8-- e addrew indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,52n the EHD. Applications received after <br /> 3:01)pm will be processed the next business day, <br /> 2. The EHD will notify the applicant ifanyEHD files exist An appointment for review will be confirmed approximately tan(10) <br /> days after receipt of application. The flies will behold for a maximum of Five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file Is available. <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. <br /> PMD USE ONLv <br /> av <br /> EHD 48-08 <br /> Received Time Oct. 24. 2014 8 : 04AM No, 1401 <br />