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01/1212018 15:51 (FAX) P.0021002 <br /> RECEIVED <br /> DATE RECEIVED AIL) SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> JAN 12 2018 1''^^) ENVIRONMENTAL HEALTH DEPARTMENT <br /> • �\�r-ter 3(„'ti^ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENMp,C�pllEf4111LHil Telephone: (209)468-3420 Fax:(209)464.0138 Web:www.sjgov.org/ehd /��/7 <br /> PEMMfT/5� ti3 sl/PUBLIC RECORDS RELEASE APPLICATION VS ^/ <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATEOP:_Stockton, CA 95215 <br /> PHONE(1): 209467-1006 PHONE(2):209 23-7200 FAX OR E-MAIL: rnatal@advgeoenv.com <br /> Please allow 19 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 /> ❑ CHECK BOK TO EXPEDITE REQUESTSFA OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT EE <br /> 04, DATE 01/12/2018 <br /> 1. List up to tan addresses In the space below. Select the tya s)of filen from the list below by checking the appropriate <br /> box(ea). At least one file type MUST be selected. Fax to(209)464-0138 !2r mall to the addres's Indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance In identifying the nature and content of EHD records, please contact EHD at the number noted above. <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$139 deposit prior to review. %� 1 <br /> WELL,AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) r <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL 3l( -fr'S- 1 CO. -Z —1 <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> ❑X UNDERGROUND TANK(DST) Street III street Name City <br /> y CLEANUPSITE(LOP) , 4747 West Lane N�Stockton U` l7-.e az3-ty8zowN�BNr^ <br /> ©OTHER CLEANUP SRE(NON-LOP) -^ <br /> W <br /> TIEREHAZAD OUS <br /> ITTsre Stockton u�_ � D D DMR. <br /> j�TIEREO PERMITTED FACILITY 2 471,5 West Lane Stockton '1!� /�/G (� <br /> E)ABOVE(3ROUN0 TANK /V a �yl / Ul <br /> O LIST (MONITORING/RENWAL) I-to%LI u, ❑PWS <br /> FX HAZARDOUSMAYERIALS ' 4629 West Lane . e tockton ,I <br /> ©SPILI/RELFABE RESPONSE N 0 N _ ", <br /> ❑SOLID WASTE FACILITY 1 VEHICLEd WATER CII <br /> ❑FOOD FACILITY <br /> 71 PCCL/SPA G3aRE M.A'. <br /> ❑0AIPY r <br /> LAND WE APPLICATION SITES <br /> SEPTIC PUMPER TRUCK/ p NIXIAINO <br /> e <br /> YARD/CHEMICAL TOILETS <br /> WASTEWATER TREATMENT PLANT CRPA <br /> HOUBINOAWTEMENT T 'T <br /> 1 <br /> MOTEL/NOTEL hM f Hv <br /> CHICKEN RANCH/EOG KENNEL CUPA-UST <br /> MEDICAL WASTE FACILITY S <br /> E]TAT700/DODY PIERCING <br /> L3SOUD WAYTr <br /> WASTE TIRE '7/� (�`{ ,1 J M/t� 1 l�A��J7 <br /> COMPLAINT B )tel `/( V O(�V p�� ✓V�rI ` • r <br /> ❑OTHER(PLEAEE SPECIFY): <br /> ry leA2_uNFIN0 <br /> 10 NNL• �"1 -1 v1� <br /> ^BOXED AREA-CND UBE ONLY— ,l,w �' <br /> I t(> (rAILA kA I r o! PPM 4,-., o{- 1 eL, cgltL�xue "e4NI <br /> U S <br /> U� s Z2� 1 1 <br /> Receune�all lJan heF 18-o36P FI. 2890 Tj u z 1;Ie5 ­Aq <br /> reo v 1S' %on.'11 Its 5 r fe <br />