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RECEIVER <br /> SAN 10AQU1� " Environmental Health Department <br /> COUNTY--RR 3 0 2018 PUBLIC RECORDS RELEASE AP LICATION <br /> -i crness arCvr -� <br /> IY BY cnnen_I <br /> EHD LOG NUMBER <br /> APPLICANT: Jaqueline Hyman BUSINESS/AGENCY:Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton,CA 95215 <br /> PHONE(1): 800-511-9300 PHONE(2): FAX OR E-MAIL: ihyman@advgeoenv.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you�o mange an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT DATE 3-30-2018 <br /> 1. List uo to ten addresses in the space BVIM. Address ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138 mail to the <br /> address indicated below, or email to info(rDsicehd com Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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$152 deposit prior to review. (I� <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From 1-1-1940 to 3-30-2018 <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT <br /> FILES (Specific addresses only, address ranges will not be accepted) EHD USE ONLY <br /> Q Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) 1950 ❑CONSUMER <br /> . Q Other Cleanup Site(Non-LOP) <br /> W. Fremont St. Stockton <br /> Q Hazardous Waste <br /> Q Tiered Permitted Facility 2 `' /t LAW <br /> I�q Aboveground Tank N�S HW YJr+ <br /> IJ UST (Monitoring/Removal) I vo ❑PWS <br /> 0 <br /> Q Hazardous Materials Lei `1-� \` ('--`/Ji <br /> Q Spill/Release Response <br /> SGiitl Waste Facility I Vehicle 4 ' ATER QWLL <br /> ❑Food Facility <br /> ❑Pool/Spa I /�/^ rtE MmGAnou <br /> Dairy <br /> ❑Land Use Application Sites <br /> Septic Pumper Truck/ 9 n 1 <br /> ❑HOUSING <br /> Yard I Chemical Toilets <br /> ❑Wastewater Treatment Plant CUPA <br /> Housing Abatement 7 AST I HM I HW <br /> ❑Motel/Hotel 1 <br /> Chicken Ranch/Dag Kennel9 /i CUPA UST r/ <br /> Medical Waste Facility `\ . <br /> R Tatmc/Body Piercing <br /> ❑Waste Tire 9 ❑SOLID WPSTE <br /> ❑Complaint <br /> Other(Please Specify): AccoutmNo <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> 0 Records provided by Staff-PPR Complete. staff Name: exo 4,N. <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />