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�■ 10/2412014 08:22 "AX) P.001/001 <br /> I ■ <br /> ■ <br /> I ■ <br /> ■ <br /> I� DATE RECEIVED EHD LOG NUMBER <br /> I� t SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> OC 1 2 4 Telephone: (209) 468-3420 Fax., (209)464-0138 Web: vrww.sjgov.org/ehd <br /> FNVIPNNMENI ALHE:�{-�{'1 <br /> pEFtMITISEV{t'�` PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Jennifer Bediklan 13USINESSIAGENCY:Advanced GeoEnviron mental <br /> ADDRESS: 837 North Shaw Road CITY/STATE/ZIP: Stockton, CA <br /> PHONE(1): (209)467-1006 PHONE(2):209)483-3401 FACSIMILE: (209)467-1118 <br /> TENTATIVE'APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal-•Tontstive only-must be co rme ) <br /> ❑ CHECK BOX TO EXPEDITE QU S125 FEE OR CHECK ONLY)-REQUEST PROCESSED IN �U11& Y <br /> SIGNATURE OF APPLIC DATE <br /> Electronic information: Map—Description.- <br /> FILE <br /> escription:FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City - Unit 1 <br /> 1. 3400 Newton Road Stockton <br /> 2. 3516 Newton Road Stockton '�='ItC7 ., •'units <br /> 3. 3535 Cherokee Road Stockton <br /> 4. 3655 East Cherokee Road Stockton u I, .`I <br /> ✓'Unit 3 r <br /> 6. <br /> 6. (D Zi <br /> ❑Unit 4 <br /> 7 <br /> 8. <br /> Unit e <br /> 9. <br /> PIT <br /> 10. ` <br /> Unit 6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑ <br /> UNDERGROUND TANK(LIST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT QSOLID WASTE FACILITYNEHICLE <br /> ❑x OTHER CLEANUP SITE(NON-LOP) ❑FODD FACILITY x❑WASTE TIRE <br /> D UNDERGROUND TANK(MoNrrORINGIREMOVA0 ❑DOG KENNEL Q DAIRY <br /> Q HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPERTRUCK/YARDICHEMICALTOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA ❑LAND USEAPPLICATIDN SITES <br /> ❑ MEDICAL WASTE FAClUTY ED COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERIWT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:0D ANF5,00PM(EXCLUDING HOLIDAYS) <br /> 1. List uo 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. rax to(2091464-0138 or mall to the address indicated above Address <br /> ranges will not be accepted-for additional a2sistance with flle addresses,contact the EHD. Applications received 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 ravlew will be confimned 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 ba 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 requirea$125 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48 08 <br /> Received Tirne Oct- 24. 2014 8:04AM No- 7401 <br />