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■ 'Advanced GeoEnviroiFax:(707)570-1461 To: Fax: +1 (209)464-0136 Page i of 1 12/042015 3:47 PM <br /> OEM DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ■■■ ED ENVIRONMENTAL HEALTH DEPARTMENT <br /> ■ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • OEC 0 7 2015 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMIENTAL HEHLTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GenEnvironmp tai <br /> ADDRESS: 837 Sh2\Ar Rrad CITY/STATEOP: Storkton / GA / 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY / <br /> Street# Street Name City (`Unit 1 <br /> 1. <br /> 2. <br /> nit 2 <br /> 3. f 3N7 <br /> 4' El n3 I15 <br /> 5. <br /> 6. <br /> nn a <br /> 8. nn 5 <br /> WL <br /> s. <br /> p%>ftlt 6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING AI3ATEMENT ❑X SOLID WASTE FACILITYNEHCLE <br /> X1 OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑x WASTE TIRE <br /> 1]UNDERGROUND TANK(MOMTORING/REmovAL) ❑DOG KENNEL Q DAIRY <br /> Q HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 1]TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILErs <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA ❑x LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑x COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND 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 to(209)464-0138 or mail to the address indicated above Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. 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 /> 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. Anyfile 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$125 deposit prior to review. <br /> EHD USE'HLr <br /> Received Time Dec. 4. 201 3� 41PM�Jo. 0128 6'1'11 <br />