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RECEIVED <br /> SANIOAQUIN MAY ! 3 � Environmental Health Department <br /> —COUNTY— <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> • ; , >t Greatness grew:. hcEMftEONIVl�Q MAIL <br /> PtPAAlIIIT EHD LOG NUMBER: <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced Geoenvironmental,Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton,CA 95215 <br /> PHONE(1): 209-467-1006 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 DATE 5123/2018 <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 infolfbsicehd.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. �l l <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-5:0013M(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL -- <br /> HEALTH DEPARTMENT FILE ADDRESS <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) 14 <br /> ❑CONSUMER <br /> • ❑X Other Cleanup Site(Non-LOP) <br /> 121 E Lindsay St Stockton <br /> Q Hazardous Waste L DAIRY <br /> Q Tiered Permitted Facility 2 118 E Fremont St Stockton <br /> Q Aboveground Tank <br /> Q UST (Monitoring/Removal) PWS <br /> Q Hazardous Materials a 417 N Hunter St Stockton <br /> Q Spill/Release Response 1y1/ "'Ea Ou"utt <br /> Solid Waste Facility l Vehicle 4 419 N Hunter St Stockton � ) I " <br /> ❑ Food Facility ii <br /> El Pool/Spa n no"nou <br /> ❑ Dairy 5 423 N Hunter St Stockton <br /> Q Land Use Application Sites, <br /> Haasirva <br /> Septic Pumper Truck/ a ❑ <br /> Yard/Chemical Toilets 120 E Fremont St Stockton <br /> ❑Wastewater Treatment Plant CU PA <br /> Housing Abatement 7 124 E Fremont St Stockton AST I HM IHW <br /> MotellHotel - <br /> Chicken Ranch/Dog Kennel I P'iAv w� p uPF <br /> Medical Waste Facility a 400 N EI Dorado St Stockton "n usr <br /> Tettoo/Body Piercing Souu wove <br /> Waste Tire 9 404 N EI Dorado Sto Stockton <br /> N complaint <br /> Other(Please Specify): El Accoannnc <br /> 0 416 N EI Dorado St Stockton <br /> —BOXED AREA-EHD USE ON{LY <br /> • 5-2 'I —f^J.r n 1,0.x-1-'<;n re. f;N �ntorl__A ! Z-(- <br /> ❑ Records provided by Staff-PPR Complete. staff Name: F W 18 IS <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />