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f 1012812015 09:02 ) P.0011001 <br /> t ���l�,i-1uW E D EtiD LO.G NUMBER <br /> I�� SAN JOAQUIN COUNTY <br /> OCT 2$ 2015 ENVIRONMENTAL HEALTH DEPARTMENT oll AK <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Qi <br /> ENVIRONMENTAL HEALTA <br /> "'phone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT; Jennifer Serjiklan BUSINESS/AGENCY Advanoed GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITYiSTATEiZIP:Stockton,CA 95215 <br /> PHONE(1): 209A67-1006 PHONE(2); 209-083-3461 FACSIMILE: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 REQI lE CASH OR CHECK ONLY)-REQUEST PROCESSED IN tq1NESS DAYS <br /> SIGNATURE OF APPLICANT DATE t! <br /> Electronic Information: ❑List Map—Description: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street# 'Street Name City <br /> 825 Navy Drive z S4 Stockton I �� <br /> 2. 1137 South Stockton Street q-?u0/Ac- Stockton —'1 f"� Unit 1 <br /> 240 Navy Drive U7 0Mt4et Stockton — tf F ;u q Q_'_71A ❑Unit 2 <br /> 1145 West Charter Way 4-? () Iq Stockton a fif i4 t4 Q Unit 2H4t <br /> S. 939 West Charter Way tj Stockton 1:�jc 1� <br /> 6. 016nit 3 <br /> 7_ 4,nit 4 <br /> 8. Mir 1 <br /> "' " n1GAT10N <br /> 10. @,d-nit R <br /> Specific I37to 7enfl9 of Information Requested: Prom ` to <br /> ENVIRON6 . LTH DEPARTMENT FILES <br /> i[ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ED WASTE FACILITY UD WASTE FACILITYIVEHICLE <br /> THER CLEANUP SITE(NON-LOP) A <br /> NO ABATEMENT A6TE TIRE <br /> UE ROROUND TANK(MONITORINaIREMOVAL) ElFDOD FACILITY E]DAIRY <br /> VEGROUND TANK <br /> El RANCHi DOG KENNEL 171 WASTEWATER TREAVENT PLANT <br /> FAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELiHOTEL ❑.PUMPER TRUCK/YARDiCHEMICAL TOILETS <br /> ❑TiERED PERIdiTTED FACILITY ❑{,'d600X ❑LAND USt!APPLICATION srfES <br /> ❑TATToolaoDY PIERCING M'COMPLAINTiRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 9:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. Ltst un to ten addresses In the space above, Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 12091464-0138 or mail to the address Indicated above,, Address <br /> ranges will not be accepted.Applications reeelved 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 END'Ides exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maxlmum of five buslnass 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 tho appilcant. <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. ***BOXED AREA-EHD USF_ONLY"" <br /> p Records provided by Staff-PPR Complete.Staff Name: <br /> WiD 43-06 7N17 a <br /> Received Time Oct. 28. 2015 8:54AM No. 9891 <br />