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(TAX) P.0011001 <br /> }� DATE RE O D 20017 SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> [t C ENVIRONMENTAL HEALTH DEPARTMENT <br /> • MA/iftONMFfLITAI Ii154-71'f 1668 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> PERMFT/SER?40ES Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd V <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Erin Aottacker BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATEFZIP:Stockton, CA 95215 . <br /> PHONE(1): 209-467-1006 PHONE(2): FAX OR E-MAIL:erottacker®advgeoenv,com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will con C}ou to arrange an appointment date and time to review the requested records, <br /> ❑ CHECK BOX TO E% DI EOUES - 3 E(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 B ,SIyN SS DAYS <br /> SIGNATURE OF APPLICAN - DATE ?S <br /> 1. List u to ten addresse I e apace . 8 lett the types)of filo®from the list below by checkin th appropriate <br /> box(es). At least one file <br /> pe MUST b selected, Fax to(209)464-0138 or mall to the address Indicated above. Address <br /> ranges will not be accepted.Applications received after 3:D0 PER 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 flies 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$139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(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 /> • M UNDERGROUND TANK(UST) $treat# Street Name city <br /> CLEANUP SITE(LOP) _ DCOHeuuen <br /> + 321 S. Hutchins St. Lodi <br /> ®OTHER CLEANUP SITE(NON-LOP) (!( <br /> ®HALNmDUS WASTE p DAW <br /> ®TIERED PERMITTED FACILITY S 305 S. Hutchins St. Lodi LOPa'��5'� O <br /> ®ABOVEGROUND TANK <br /> UST (MONITORNO/Re AL) ❑PWS <br /> ®HAZARDOUS MATERULS i 5520 W. Lodi Ave. Lodi Nt-` <br /> ®SPILURELEASE RESPONSE J, <br /> SOLID W"m FAcRJTY/VEHICLE . Loj 'iv(-]- (gip WATER DUALITY <br /> E]FOOD FACILITY 501 W. Lodi Ave. Lodi <br /> EIPOOL/SPA _ I13 SITE MMOATION <br /> ❑DAIRY a 610 W. Lodi Ave. Lodi <br /> ®LAND USE APPLICATION SITES <br /> ❑SEPTIC PUMPER TRUCK I Q HOUlINa <br /> YARD/CHEMICAL TOILETS prJvikeTA co I <br /> WASTRVIATER TREATMENT PLANT [!jGUPA <br /> HOUSING ABATEMENT T <br /> ❑MOTEUHOTEL <br /> ❑CHICKEN RANCH/DOG KENNEL 99 CUPA-UST <br /> I1 MEDICAL WASTE FACILITY B <br /> ❑TATTOO/BODY PIERCING <br /> [—]WASTE TIRE SOLID WW1 <br /> B <br /> CUNPu1NT <br /> ❑OTHER(PLLABE SPECIFY)! 0 Acmuwwa <br /> 10 <br /> —BOXED AREA-EHD USE ONLY <br /> — <br /> 0 Records orovided by Staff-PPR Complete. sun nam.: <br /> Received Time=Feb. 8. 02011'10: 340--Ne. 0796 <br />