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RECEIVED <br /> SA N.J O A Q U I N Environmental Health Department <br /> I' —COU iMAY 18 2616 PUBLIC RECORDS RELEASE APPLICATION <br /> EWWI MAIL �0to <br /> � <br /> PFMSEf $-- L EHD LOG NUMBER: <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GSGEnvironmental,Inc <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton,CA 95215 <br /> PHONE(1): 209467-1006 PHONE(2):209-623-7200 FAX OR E-MAIL: Rnatal@advgeoenv.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 an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT ;y°^"r` DATE snarzofa <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138,mail to the <br /> address indicated below,or email to info(cDsicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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$152 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From 2015 to 2018 <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( p y 9 p <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> P Underground Tank(UST) Street# Street Name city <br /> Cleanup Site(LOP) E]300 <br /> • �X Other Cleanup Site(Non-LOP) <br /> 1300 E Louise Ave Lathrop F.F. <br /> FHazardous Waste l D DAiw <br /> IJaX Tiered Permitted Facility = 500 E Louise Ave Lathrop L'9PL> (� <br /> Q Aboveground Tank 1-t V1 Wit <br /> Q UST (Monitoring/Removal) ❑PWS <br /> Q Hazardous Materials s <br /> Q Spill/Release Response 0. <br /> ❑Solid Waste Facility/Vehicle 4 32/ I V 'ATER QUOIIT" <br /> f-1Food Facility V I _ r' <br /> Pool/Spa nc MITIGATON <br /> Dairy 5 <br /> Q Land Use Application Sites <br /> F-1SepticPumper Truck/ a ❑Housirvc <br /> Yard/Chemical Toilets <br /> Wastewater Treatment Plant UPA <br /> Housing Abatement 7 ASTIHM/HW <br /> ❑ Motel/Hotel <br /> ❑Chicken Ranch/Dag Kennel COPA <br /> Medical Waste Facility 8 UST <br /> Tattoo/Body Piercing D SOLID WASTE <br /> ❑Waste Tire e <br /> Q Complaint <br /> Other(Please Specify): ❑AccouNriec <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY <br /> • 5-1'�-f�f^ rna4c (:e; -�-1rne /tee" o� �n or e o'F Hn��l f,�.t+ur.z it �1. <br /> D Records provided by Staff-PPR Complete. Staff Name: EHD484G <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.corn <br />