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1012812015 09:02 _ - P.0011001 <br /> IIler [�� j/�� EHD 1-00NUMBER <br /> low [ l�/ SAN JOAQUIN COUNTY ,, ,� �� <br /> OCT 2$ 2015 ENVIRONMENTAL HEALTH DEPARTMENT o7k <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 �'"`'�''U <br /> phone, (209)468-3420 Fax: (209)464-0138 Web:www.SJgov.org/ehd <br /> ENVIRONMENTALHEAL1TI�le <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Jennifer Serilkian BUS IN ESSIAG ENCyAdvanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATEIXIP:Stockton,CA 95215 <br /> PHONE(1): 209A67-1006 P14ONE(2): 209A83-3461FACSIMILE:209-467-1118 <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 review the requested records. <br /> ❑CHECK BOX TO EXPEDITE REQUE CASH OR CHECK ONLY)-REQUEST PROCESSED IN!�TINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information; ❑Llst Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name City <br /> 825 Navy Drive2 `L f� Stockton <br /> 2. 1137 South Stockton Street +4,--?40/Ad Stockton Unit <br /> 240 Navy Drive W10ct Stockton — tf wF ,u1 q_ '_, ❑Unit e <br /> 1145 West Charter Way 4Z (') R Stodmon 3 FF L fit a- : Q Unit 2H <br /> S, 939 West Charter Way IJ Stockton ly rr lSf� <br /> 6. <br /> 7. V%In PV,nit 4 <br /> 8. ITIGATiom <br /> 9. <br /> nit b <br /> Spealfic We Range of Information R•qu.sted: From to _ <br /> ENVIRONMEN LTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ED WASTE FAciLrrY (� uD WASTE FAclUTYNEHICLE <br /> 219,THER CLEANUP SiTE(NoN-LOP) ❑ NO ABATEMENT PASTE TIRE <br /> t�NDEROROVND TANK(MONiTORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®'ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWTATERTREATi,IENT PLANT <br /> (�' AZARDOUSWASTEIHAzARDOUSMATERIALs ❑MOTELIHOTEL ❑.PUMPER IRUCKNARDiCHE=ALTOILETS <br /> ❑TiERED PERImED FACILITY ❑Ba6LISPA ❑LAND USE APPUOATION SITES <br /> ❑TATr001800Y PIERCING & COMPtAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEFnc PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. tdat up to ten addresses In the space above. Select the type(s)of tiles from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 12091464-0138 or mall to the address Indlosted 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 ldentlfying 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 tiles exist. An appointment for review will be conflrmed approxhnately ten(10) <br /> days after receipt of application. The files will be hold for a maximum of five bualnass 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. " •13QXI;p AREA-END USE ONLYr" <br /> p Records provided by Staff-PPR Complete.staff Nam.: <br /> Elio"-us 7x1196 <br /> Received Time Oct, 28, 2015 8:54AM No, 9891 <br />