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From:Advanced GeoEnviroiFax:(707)570-1461 To: 2094040138@rcfax.con Fax: (209)464-0138 Page 2 of 2 03102/2018 2:47 PM <br /> DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd r� <br /> PUBLIC RECORDS RELEASE APPLICATION 13 <br /> GHL <br /> •APPLICANT: Diane Becker BUSINESS/AGENCY:Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Rd. CITYISTATE/ZIP:Stockton, CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 714-529-0200 FAX OR E-MAIL: dbecker@adVgeoenv.co <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 EXPEDIT QUT-$139 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 03/02/2018 <br /> 1. List up to ten addresses in the sptice biFYBw-Selectthe type(s)of files from the list below 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.Applications received after3:00 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 (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 same applicant may require a $139 deposit prior to review. 2— <br /> WELL <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 1.1-1940 to 3-2-2018 <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> O UNDERGROUND TANK(UST) Street# Street Name city <br /> CLEANUP SRE(LOP) R}� L�1{ r S'S1LOe,'a ` ^� IJr/^ 0 CONSUMER <br /> x OTHERCLEANUP SRE(NON-LOP) 1 2088 Mariposa Rd. Stockton TVI vJ <br /> O HAZARDOUS WASTE <br /> DAIRY <br /> O TIERED PEr@ATTED FACILITY 2 <br /> O A60VEGROUND TANK <br /> OUST (MONITORING/REMOVAL) ❑PWS <br /> O HAZARDOUS MATERIALS 3 <br /> O SPILURELEASE RESPONSE <br /> O SOLID WASTE FACILITY/VEHICLE 4RECEIVE 3�S �� 1 (� /1_�� WATER DUAIrIY <br /> F-1 FOOD FACILITY RECEIVED CD �IY/� <br /> r-1 POOL/SPA 5REMMOA¶ON <br /> ❑DAIRY 6 MAR 0 2 2013 <br /> ❑LAND USE APPLICATION S RES <br /> ❑SEPTC PUMPER TRUCK/ t:NVIRONMENTAL HEAL H ❑HOUSING <br /> e PERMITISERVICES <br /> YARD/CHEMICAL TOILETS <br /> ❑W A5maNATER TREATMENT PLANT <br /> CUPA <br /> ❑HOUSINGAE(1TEMENT 7 +,_ t <br /> ❑M=L/H=L <br /> r <br /> ❑C HICKEN RANCH/DOG KENNEL CUPA-UST <br /> ❑MEDICAL WASTE FACILITY S <br /> ❑TATTOO/BODY PIERCING <br /> [ WASTE TIRE SOLID WASTE <br /> 9 <br /> DIXu1PLPINT <br /> OTHER(P LEASE SPECIFY): <br /> ACCOUNTING <br /> 10 <br /> '—BOXED AREA-EHD USE ONLY"` <br /> �— —C111 4:1be1dk jt eQ& 01ni l k 1-iAV .i:11 00r <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> Received Time—Mar. 2, -2018 2:41PN-No. 3149 <br />