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SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> I�;✓ E r�;�' <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.sjgov.org1ehd <br /> ENVIRONMENTAL HEALTH f �� 1 Y <br /> aEf;MlTISEI;�iICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT. Yukari Hirayama BUSINESS/AGENCY:-Advanced GeoEnviron mental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton/CA/95215 <br /> PHONE(1): 818-486-2150 PHONE (2):209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTAT/VE*APPOINTMENT DATE: Time: <br /> (Ploaso allow 10 business days from data of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 2/10/2015 <br /> Electronic Information: ❑ List[I Map—Descrlptlan: <br /> FILE ADDRESS EHD USE ONLY <br /> 11 r <br /> # Street Name City3 Bourbon Street Stockton <br /> 5 West Lane StoCkton p nit 2 <br /> 5 West Lane Sto k n <br /> . � <br /> DUnit3 (yI <br /> I]Unit 4 <br /> 7. <br /> 8. <br /> Unit 5 <br /> 9. <br /> L I Co !G> /S <br /> 0-unit s <br /> Specific Data Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) []HOUSING ABATEMENT Q SOLID WASTE FACILITYIVEHICLE <br /> x❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY 0 WASTE TIRE <br /> x❑UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL Q DAIRY <br /> XI HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> X❑TIERED PERMITTED FACILITY ❑MOTEL HOTEL ❑PUMPERTRUCKNARD/CHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOL/SPA Q LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND 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(208)464-0138 or mail to the address indicated above Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications recoived 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 /> Received Time Feb. 10. 2015 11 :45AM No. 8081 8/1111 <br />