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RLSlJi5on �(� f'_I I EHD LOG NUMBER <br /> �tij�� Ig r� L SAN .IOAQUIN COUNTY <br /> NOV Q �_7���JlJ J' �rY\ ENVIRONMENTAL HEALTH DEPARTMENT �g l o <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> A ¢•NVIRONMENTAL HEALTH Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PERMITISERVICES <br /> �9'� fy(vjf5 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Berjikian BUST.NESS,AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 3335 E. Miraloma Ave. Suite 142 CITY/STATE/ZIP: Anaheim, CA 92806 <br /> PHONE (1): 714-529-0200 PHONE (2): FACSIMILE: 714-529-0203 <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 BOXTO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 05 November 2015 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> r4. <br /> 161 East Transportation Drive Ripon <br /> 161 East Transportation Court French Camp E]Unit 1 <br /> E] Unit 2 <br /> E] Unit 2H <br /> 5. <br /> 6. nita <br /> 7. Er Unit 4 <br /> 6 SITE MITIGATION <br /> 9. <br /> 10. 1 ❑ Unit 5 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> - UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> [OTHER CLEANUP SITE(NON-LOP) F-1HOUSINGABATEMENT ❑WASTE TIRE <br /> �UJJDERGROUND TANK(MONITORINGIREMOVAL) F-1FOOD FACILITY E]DAIRY <br /> Q/ OVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ( AZARDOUS WASTE/HAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TIERED PERMITTED FACILITY r-1POOLISPA ❑LAND USE APPLICATION SITES <br /> F-1TATTOOIBODY PIERCING F]COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND 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(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted.Applications received after 3:00 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 $130 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> :Reco:rds=provided ff-PPR Complete. Staff Name: <br /> Huls <br /> EHD 48-a6 <br />