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,� MVIN Wb' N S[06 'Ol 'qaj aw!i paAI ;3;� <br /> `i�tl _t�1' '1�D SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> C N,E�.z�-� ` !� � <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB 10 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> ENVIRONMEN`IAL HEALTH <br /> PERDIT(SERVI'OES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Diane Becker BUSINESSIAGENCY:Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton <br /> PHONE(1): 800-511-9300 PHONE(2): 714-529-0200 FACSIMILE: 714-529-0203 <br /> TENTATIVE*APPOINTMENT )AJ.. Time: <br /> (Please allow 10 business day fr m dytef cation submittal-*Tentative only-must be confirmed) <br /> F]CHECK BOX TO EXPEDITE REQU - 125 FOR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OFAPP1 APPLICANT DATE ')10 /1 S <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ' Unit 1 <br /> 1, 800 E Kettleman Lane Lodi I LI) -LOP R - <br /> 2. _ 1 C'1ite ' Sike 6tgXm o unit 2 , -1 <br /> 3. <br /> 4. r� -� �U it3 <br /> 5. <br /> 6. 2 � .�- E]Unit 4 <br /> 7. <br /> 8. ❑Unit 5 <br /> 9. <br /> 10. .p-u It 6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT Q SOLID WASTE FACILITYNEHICLE <br /> j]OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY Q WASTE TIRE <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL Q DAIRY <br /> Q HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCK/YARD/CHEMICALTOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA ❑x LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. 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 /> 3. A file that is actively being worked on by EHD staff may not be immediately available 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 released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> CHI USE ONLY <br /> 0 <br /> III � <br /> EHD 48-66 <br /> --- :8 <br /> t � <br /> O <br /> Wd ZZ:6 SLOZ/0LZO I, ;0 L d6ed 6£L0b9b60ZL+ :xed uorxeJ�@8Zl,0b9b60Z:01 <br /> L94L-OLS ILOL):xej10ilnu30a0 paouenpy:e®� <br />