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F0 0210212015 14:32 (FAX) P.0011001 <br /> o <br /> I O EHD LOG NUNiESE + <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Z � <br /> FEB 0 2 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> pERMITISERVICF_S <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_Jennifer Berjikian BUSINESSIAGENCY:Adyanced GeoEnvironmental <br /> ADDRESS: 837 Shaw ROadk CITYISTATEIZIP:Stockton, CA 95215 <br /> PHONE(1): 209-467-1006 PHONE:(2)-.209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Ploase allow 10 business days from date of application submittal-'Tenfadve only-must be con rmed) <br /> ❑ CHECK BOX TO EXPEDITE -$125 OR CHECK ONLY)-REQUEST PROCESSED IN 3 US DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ LI ap—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name City/ EI Unit 1 <br /> 1. 1246 Vanderbilt Circle Manteca 10 <br /> 2. 1299 Vanderbilt Curcle Manteca A> ULC �-r F1Unit z <br /> 3. 1199 Vanderbilt Circle Manteca I((.k V,,1db,i. <br /> 4. 1153 Vanderbilt Circle Manteca VAI-1 71 UnIc3 <br /> ti. JElUnit 4 <br /> 7. <br /> 8. <br /> unit 6 <br /> 9. <br /> 10. <br /> ,dUnit 6 <br /> Specific Date 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 FACILITYNEHiCLE <br /> xQ OTHER CLEANUP SITE(NON.LOP) ❑FOOD FACILITY ❑X WASTE TIRE <br /> Q UNDERGROUND TANK(MONirORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> Q HAZARDOUS WASTE G ENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑x TIERED PERMTITED FACIL Ty ❑MOTEUHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑PODUSPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑COMP(AIM RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW. MONDAY-FRIDAY 8:00 AM-5:0OPM(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 mall to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be proceaged 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 behold 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 tha applicant, <br /> Future file reviews by the some applicant may require a$125 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 40.00 <br /> eft/11 <br /> Received Time Feb, 2. 2015 2: 31PM No. 8008 <br />