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RECEIVED <br /> ' F SQN2JOQQUINEnvironmental Health Department <br /> Isrt <br /> I :W —COUNTY— MAY ��j� PUBLIC RECORDS RELEASE APPLICATION <br /> ; , <br /> ✓� �c <br /> • ..;:ri: Greotness yrcws h A tl „`MAIL <br /> EHD LOG NUMBER:`6 <br /> APPLICANT: Rebecca Natal BUSINESSIAGENCY:Advanced GeoEnvlronmental,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@advgecenv.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 r' erma a DATE 5123120181. 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(ailsicehd.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. jl <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 to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> Q Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) JAW ❑CQ4aVMER <br /> • <br /> ❑Other Cleanup Site(Non-LOP) 1 121 E Lindsay St Stockton X <br /> Q Hazardous Waste L []op,av <br /> N Tiered Permitted Facility 2 118 E Fremont St Stockton <br /> Q Aboveground Tank <br /> Q UST (Monitoring/Removal PWS <br /> El Hazardous Materials 3 417 N Hunter St Stockton <br /> Q Spill/Release Response (� <br /> F1 Solid Waste Facility/Vehicle 4 419 N Hunter St Stockton i I� ATER Gouln <br /> ❑ Food Facility I ) <br /> ❑Pool/Spa iT IGSuON <br /> r-] Dairy 5 423 N Hunter St Stockton <br /> Q Land Use Application Sites, <br /> ❑ Housiac <br /> Septic Pumper Truck/ ❑ <br /> Yard I Chemical Toilets 6 120 E Fremont St Stockton <br /> ❑Wastewater Treatment Plant RrCUPA <br /> ❑Housing Abatement 7 124 E Fremont St Stockton ABT/HM,HW <br /> ❑Motel/Hotel <br /> Chicken Ranch/Dog Kennel I+hMV UPA <br /> 0 8 400 N EI Dorado St Stockton Qtir I' s, <br /> Medical Waste Facility � <br /> ❑Tattoo/Body Piercing SOne Wase <br /> ❑waste Tire <br /> Q Complainl� 9 404 N EI Dorado Sto Stockton <br /> ❑Other(Please Spec'rfy): ❑Acwuenaa <br /> ° 416 N EI Dorado St Stockton <br /> ***BOXED AREA-EHD USE ONLY*** <br /> c <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: lit, ae-0a <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />