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Y 11/03/2014 11:40 Is � ) <br /> r¢Y P.0011001 <br /> 1 <br /> DATERECEIVED - ti"�L- I- <br /> T <br /> � �� � I SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> REGEI �/ E �' 1 )!=1VIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> NOV,W3 2 f1Telephone: (209) 488-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVI RONMENTA,t.MEALT:"I <br /> PFRMIT/,O,FRVI(iES PUBLIC RECORDS RELEASE APPLICATION <br /> 1 <br /> APPLICANT:Jennlfer Berllklan BUSINESS/AGENCY:Advanced GeDEnvfronmental <br /> ADDRESS: 837 North Shaw Road CITY/STATE/ZIP: Stockton, CA <br /> PHONE (1): (209)467-1006 PHONE (2):(209)483-340'1 FACSIMILE: (209)467-1118 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Plaasa allow 10 badness days from date of appllcatlo eeubmldal-'Tfntativfon y-must be Confirmed) <br /> CHECK BOX To EXPEDITE go -St2 - E ASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE L <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street ll Strn t Nam City <br /> 1. 1201 Gertrude Avenue Stockon unit 1 G' - <br /> 2- 1203 Gertrude Avenue Stockton �Ilet, <br /> 3. 1275 Gertrude Avenue Stockton �h <br /> 4. 4343 Fremont Street Stockton il ij7h.4 <br /> B. 1133 Shaw Road Stockton Untt3 <br /> 7 EjUnn4 <br /> 8. <br /> g. Unk a <br /> 10. <br /> Specific Data Range of Information Requested: From -Unk 6 <br /> ENVIRONMENTAL <br /> all <br /> DEPARTMENT FILES to / <br /> El UNDERGROUND TANK(LIST)CLEANUP SITE(Lop) ❑HOUSING ABATEMENT SOLID WASTE FACIUNNEHICLE <br /> OOTHER CLEANUP SITE(NONLOP) El FWD FACILITY QWASTETIRE <br /> ❑x UNDERGROUND TANK(MONRORINGIREMOVAL) DOG KENNEL xx DAIRY <br /> OHAZARDOUS WASTE GENERATOR ®CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA 0 LAID USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 COMPLAINT RECORDS ®OTTER(PLEASE SPECIn) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW! MONDAY-FRIDAY8:OOAM-S:OOPM(EXCLUDINGHOIJDAY9 <br /> 1. Ust uP to tan addressee In the apace above. Select the type(s)of files from the list above by checking the appropriate <br /> box(ee). At least one file type MUST he selected. Fax to!2091464 0138 or mall to the address Inr�c ted abnti Address <br /> ranges will not be accepted-for additional assiatance with file eddreasee,oontact the EHD. Applications received after <br /> 3:00 pm will be processed the next bLISlness day. <br /> 2. The EHD will notify the applicant If any EHD files exist An appolntment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flies will be held for a.maximum of five business days for review. Appointment$ <br /> should be Scheduled accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be immediately avallablo for review. A new application may be <br /> submitted when the file IS available. <br /> 4, Any file not returned In the same condition as raleaaed will be reorganized by EHD staff at the exponso of the applicant <br /> Future fila reviews by the same applicant may require a$128 deposit prior to review, <br /> ....- ..,.-. r-. EHO VSE ONLY <br /> (MINI <br /> Received Time Nov, 3, 2014 11 :22AMih, 7461 <br />