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' • 021CRF <br /> C81JA O:Ax> P.00P.001/001 <br /> �■■ DATE REO p 7 201SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ■ l� ® ENVIRONMENTAL HEALTH DEPARTMENT <br /> • Q`MfRONMJ=NTA1-FAN-7i't 1865 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> PEPWITF3M--t-" Telephone: (209)498-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd V <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Erin Rottacker BUSINESSIAGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE21P:Stockton, CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): FAX ORE-MAIL:erottackereadvgeoenv.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will con p to arrange an appointment date and time to reviewthe requested records. <br /> Ll CHECK BOX TO EX DI EOUES - 3 E(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 B SIN SS DAYS <br /> SIGNATURE OF APPLICAN DATE <br /> 1. List u to ten addresse I Ie apace . 8 lect the type(s)of files from the list below by checkin the appropriate <br /> box(es). At least one file pe MUST b selected. Fax to(2091464-0138 or mail to the address Indicated above. Address <br /> ranges will not be accepted.Appllcatlone 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 contort 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 some applicant may require a$138 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:0DPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESSFILES EHD USE ONLY <br /> • ®UNDERGROUND TANK(UST) street# Street Nemo City I <br /> CLEANUP SITE(LOP) _ ❑CeNMINAA <br /> ® 321 S. Hutchins St. LodiO7NER CLEANUP 817E(NON•LOP) rt— <br /> ®HAZARDOUS WASTE LD n i-/1(��.`A�y",(1 ❑DMnr <br /> ®TIERED PERMITTED FACILITY 2 305 S. Hutchins St. Lodi i V.. "I/ <br /> ®ABOVEGROUND TANK <br /> UST (MONITORINO/REMOVAL) ❑PWS <br /> ®HAZARDOUS MATERIALS 520 W. Lodi Ave. Lodi NE` <br /> ®SPILURBLEASE RESPONSE I <br /> WATFA DUALITY <br /> F1 SOLID WASTE FACILRY/VEHICLE 501 W. Lodi Ave. Lodi LA.L Dv f.Q <br /> rl FOOD FACILITY <br /> i <br /> El POOL/SPA SITE MmaATPN <br /> ❑DAIRY r 610 W. Lodi Ave. Lodi (� <br /> ®LAND USE APPLICATION SITES <br /> Fl SEPTIC PUMPER TRUCK/ [)HemlHo <br /> 6 /� <br /> YARD I CHEMICAL TDDETa I.9J�ikel ��+�_ �/ <br /> E]WASTEWATER TREATMENT PUNT ! N <br /> lrfcuPA <br /> ❑HOUSING ABATEMENT T LL y <br /> ❑MOTEUHOTEL <br /> E]CHICKEN RANCH/DOG KENNEL CUPA-UST <br /> p MEDICAL WASTE FACILITY a <br /> TA7TGO/eODY PIERCING <br /> [—]WASTE TIRE SOLID WA <br /> B <br /> r-1,CONGlA1NT <br /> OTHER(PLEASE SPECIFY): <br /> �AcmuHnuO <br /> 10 <br /> I <br /> "9OXEO AREA-EHD USE ONLY' <br /> Records orovlded by Staff-PPR ComDlete. StAIT NAM: <br /> Received Time=Feb. 8. 02017'10 : 340PNo. 0796 <br />