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12517 10:12a Geist Eng & Env Group Inc 510 283 8644 p.1 <br /> DECEIVED <br /> DATE RECEIVED qft SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> JUL. 2 5 2011 ENVIRONMENTAL HEALTH DEPARTMENT <br /> • 1868 East Hazelton Avenue,Stockton, CA 95205-6232 <br /> M7"III"TA,)-IMWelephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PEWftFSEf8WwE8 PUBLIC RECORDS RELEASE APPLICATION 99304 <br /> APPLICANT: lo. �C/G,�e�lUSt, BUSINESSIAGENCY: . 6 <br /> t,!. <br /> ADDRESS: 1-t'Zoo A-s�(T 1 Li:! r - r 1 CITY/STATE/ZIP: O C4 9YXID <br /> PHONE(1): (S-10 Lo—/y4; PHONE(2)- C flo -efjS FAX OR E-MAIL: �,D i+r <br /> Please allow 10 business days from date of application submittal for the records to be table. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$139 FEE(CASH ECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> 1. List up to ten addresses i belo eleo 1e type(s)of files from the list below by checking the appropriate <br /> box(es)- At least one file ty9g1kWST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepte .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 It e) <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$139 deposit prior to review. Z7( <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From 1990 to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> UNOERGROUNDTANK(UST) Street N Street Name city <br /> CIEnNup SITE(LOP) n�1 (•J', 1-"T h1 b ❑coxsuueR <br /> ❑OTHFA CLEANUP SME(NoWLOP) 1 "i 3SS • ��` G / L//J—.,/ (t V <br /> HAZARDOUS WASTE YY J t( 7CJ'V DNm <br /> TIERED PERMITTED FACILITY 2 <br /> ❑ABOVEGROUND TANK <br /> UST (MONITORING I REMOVAL) I I 1 C ❑PwS <br /> HAZFROOUS MATF3 ALS /}� <br /> SRLUELE <br /> RASERESPONSE Z`fCAS e S5' J1 <br /> rV$ouD WASTE FACILRYI VEHICLE Tl (I I i WATER Q11N1T/ <br /> ° VV GD <br /> FOOD FACEITY <br /> ❑POOL/SIA SDE uncn M <br /> ❑DAIRY R <br /> ❑LAND USE APPLICATION SITES <br /> ❑SEPTIC PUMPER TRUCK I Hsi. <br /> 6 <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTEWATER TREATMENT PLANT DUPA <br /> ❑HOUSING ABATEMENT T <br /> ❑MOTELMOTEL <br /> ❑CHICKS:RANCH DOG KENNEL jdCUPA-LIST <br /> MEDICAL WASTE FMJIMY R <br /> ,❑,(TATTOOISIODY PIERCING <br /> I11 WASTETIRE 9 uSoDWAsi <br /> �l <br /> ❑COMPLAINT <br /> OTHEF(PLEASE SPECIFY): ❑���� <br /> 10 <br /> i <br /> —BOXED AREA-EHD USE ONLY-'- <br /> ❑ Records provided by Staff-PPR Complete. SIWNam.: <br /> Received Time Jul, 25. 2017 10:54AM No. 1958 <br />