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a11e 0910112016 09:05 (FAX) P.0011001 <br /> a E <br /> I: <br /> a� DATE YtECEIVEU" -""L'`, EHD LOG NUMBER <br /> ars SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> • — 1868 East Hazelton Avenue,Stockton,.CA 96206.6232 <br /> Gr^ r11 11 Telephone: (209)468-3420 Fax:(209)464-0138 Web:www,sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal SUSINESSIAGENCY:Advanoed GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP:Stockton CA 95215 <br /> PHONE(1): 209.467-1006 PHONE(2):209-623-7200 FAX OR E-MAIL: 209167-1118 <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 reviewthe requested records. <br /> ❑CHECK BOX TO EXPED�,T.�ijEOUEST.$13 E(C S CHECK ONLY)-REQUEST PROCEDSAST0 IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 0 _ q- 1-I& <br /> 1, List up to ten addresses In the space below. Select the type(a)of flies from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464-"36 or mall 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 naturie 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 nscelpt of appilcetion. 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 some 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. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS EHD U d E a N LY <br /> FILES <br /> ®UNDERGROUND TANK(UST1 Street rr 1 1 street Name city <br /> Nrt=DLEANDP 8ITE(LOP) peoucuueR <br /> ®OTHER CLEANUP SITE(NON-LOP) ' 590 Carnegie Street Manteca P.,n.1A O0 <br /> ZA : <br /> ®HARDOUS WASTE [) Lr,,-j // ❑DURA <br /> �yI TIERED PERMITTPC FACRITY x 1155 6essemer Avenue Manteca �1`y'1YA <br /> ®ASOVEGROUND TANK <br /> n.r L p PN5 <br /> ®UST(MONITORING/REMOVAL) � <br /> HAZARDOUS MATERIALS ' 575 Industrial Drive Manteca <br /> ®SPILIIRELEAeE REEPaNeE co Ig'WATen QUALITYIJ�I11 <br /> ❑SOLID WASTE FACEnYI VEHICLE g ���- <br /> 800 Mellon Street Manteca <br /> ❑FDDD FACILITY <br /> ❑POOL I SPA Q'Srtc Minannow <br /> a <br /> ❑DAIRY 400 Industrial Park Drive Manteca f�H <br /> ®LAND LEE APPLICATION SITES— 13 H—u <br /> ❑SEPTIC PUNPfiRTRUCK I , 1299 Vanderbilt Circle Manteca <br /> YARD I CHEMICAL TOILETS <br /> ®WAamviceR TREATMENT PLANT M`GQPA <br /> HOUSING ABATEMENT Z 1199 Vanderbilt Circle Manteca <br /> MOTEUHOTEL ^ / .r' <br /> ❑ <br /> `� 5_L^ M/S-NEAT 71 CNICKEN RANCH IDOD KERNEL 1153 Vanderbilt Circle Manteca '�W' IJ m'CUPA- <br /> 8 <br /> ❑MEDCAL WASTG FACILITY <br /> ❑�®❑j <br /> tL <br /> LWA'..TATToO9DY PIERCING <br /> WASWrt 1164 Bessemer Avenue Manteca <br /> COMPLAINTS <br /> OTNEA(PLEASE SPECIFY): <br /> 10 <br /> e-D2XED AREA-EHD USE ONLY•" <br /> ReLeiRed Tim pSep� 1�=2016=ff8p§2APIZ No 11163 staff Name; <br /> G VeeW <br />