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I. 1012812015 09:02 ) P.0011001 <br /> ■ <br /> I ■ <br /> EHD LOG NUMBER <br /> I.A SAN .IOAQUIN COUNTY <br /> OCT 2$ 2015 ENVIRONMENTAL WEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c <br /> phone- (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.orglehd <br /> ENVIRONMENTAL HEALTAle <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Berjlklan BUSINESS/AGENCY Advanmd Geo Environmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton,CA 95215 <br /> PHONE(1): 209-467-1006 PHONE (2): 209A83-3401 FACSIMILE:2094367-1118 <br /> Please allow 10 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 BOX TO E VEDITE REQl1E CASH OR CHECKONLY)-REQUEST PROCESSED IN INESS BAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑LI6t Map-Description: <br /> FILE ADDRESS <br /> Street 0 Street Nae City EHD 115E ONLY <br /> Name <br /> 825 Navy Drive t!? `0 Stockton i <br /> 2. 1137 South Stockton Street q-?40//Ac%f Stockton '!�� Unit 1 <br /> ,1240 Navy Drive u� 0/�Gt Stockton - tl rF -L{ L{ �7 ❑Unit z <br /> c 'ra <br /> 1145 West Charter Way cid [� �} Stockton 3�� �) Unit 2H t <br /> 939West Charter Way �FT Stockton r l.r 1(�j <br /> 6. ObnTt 3 <br /> r <br /> 7. 9<-,'. <br /> <-,'.it 4 <br /> 8. 70 iTiGATiON <br /> 9. .(` l S <br /> 10. "� 7 nit 5 <br /> Specific Wto i ang@ of Information Requested: From to <br /> ENVIRONMENTAL LTH DEPARTMENT FILES <br /> �-yU'NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY OLID WASTE FACiLiTYNEHICLE <br /> U[ THER CLEANUP SiTE(NON-LOP) ❑HousiNo ABATEMENT 9ASTE TiRE <br /> NDERGROUND TANK(MONiTORINOiREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> �VEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT.PLANT <br /> AZARDCUSWASTEMAZARDOU8MATERIALS ❑MOTEIIHOTEL [].PUMPER TRUCK/YARDICHEMICALTOILETS <br /> ❑TIERED PERiAFTED FACILITY OIJSPA ❑LAND USE APPLICATION Sane <br /> ❑TATTOOIBODY PIERCING LVC0MPLAJNT1REsPoNsE 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. Wst tip to ten addresses In the spare above. Select the type(s)of files from the list above by checking the approprtata <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mall t4 the address Indicated above, Address <br /> ranges will not be accepted.Applications romlyed after 3:00 pm will bo 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. Tho EHD will notify tho applicant If any EHD Idles exist. An appointment for review will be confirmed approximately tan(10) <br /> days after receipt of application. The files will be hold for a maximum of five businass days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any file not returned In the same condition as released v✓Tli be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. "'BOXED AREA-EHD USE ONLY"* <br /> ted.. <br /> ❑ Records provided by Staff-PPR Complete.staff Name: <br /> END 4Z-06 711115 <br /> Received Time Oct, 28. 2015 8:54AM No 9891 <br />