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RECEIVED <br /> I� SAN ,J OA Q U I N Environmental Health Department <br /> UN Z 6 2038 Jr; PUBLIC RECORDS RELEASE APPLICATION <br /> , :• Grertness grot%= he RQN1WF, a MAIL, , ./ <br /> • PEPWIIITU <br /> EHD LOG NUMBER: 64 OG <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnvironmental,Inc <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton,CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2):209-467-1118 FAX OR E-MAIL: Rnatal@advgeoenv.com <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 /> SIGNATURE OF APPLICANT DATE 6,126ne <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138, mail to the <br /> address indicated below, or email to info(cDsicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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 $152 deposit prior to review. 1p <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 to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( P y 9 p <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> 0 Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) ❑CONSUMER <br /> ❑X Other Cleanup Site(Non-LOP) 1 16888 S McKinley Lathrop <br /> . Hazardous Waste 11DAIRY <br /> Tiered Permitted Facility 2 ^ <br /> Aboveground Tank Ll� � <br /> FXZI UST (Monitoring/Removal) ❑PWS <br /> Hazardous Materials 3 <br /> ❑X Spill/Release Response t f I�� <br /> F-1SolidWaste Facility/Vehicle p Q�t7 (v37._(2, ATER QUALITY <br /> ❑Food Facility <br /> ❑Pool I Spa $ITE MITIGATION <br /> ❑Dairy 5 <br /> ❑Land Use Application Sites <br /> HOUSING <br /> F]Septic Pumper Truck/ 6 ❑ <br /> Yard/Chemical Toilets <br /> ❑Wastewater Treatment Plant ® UPA <br /> ❑Housing Abatement 7 AST/HM I HW <br /> ❑Motel/Hotel <br /> ❑Chicken Ranch/Dog Kennel p�CUPA <br /> Medical Waste Facility 8 UST <br /> Tattoo/Body Piercing ❑SOLID WASTE <br /> ❑Waste Tire g <br /> E]Complaint <br /> Other(Please Specify): ❑AccouNTING <br /> 10 <br /> —BOXED AREA-EHD USE ONLY.— <br /> • A l� —N1. '. h. fyh r`{-:.1�G. CI'✓'�- �4�- �!� z1T4 � -'.: (...try i. .,. t •� a.:............ <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />