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r 0813f 12013 14:43 ) P.0011001 <br /> %PATE RECEIVED �••�� <br /> MEC„ E Y E® SAN COUNTY <br /> ENVIRONMENTTALAL HEALTH DEPARTMENT f <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> A0G 3 0 2MTelephone: (209) 468-3420 Fax: (209) 464-0138 Web. www.sjgov.org/ehd <br /> EWRONMENTALHEA{. H <br /> pffiMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced Geo Environmental <br /> ADDRESS: 837 Shaw Road CITYISTATE/ZIP: Stockton / CA/ 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209-623-7200 FACSIMILE: 209-467-1116 <br /> TENTATIVE•APPOINTMENT DATE: AGAp Time: <br /> (Plow allow 10 business days from date of application submittal-•Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITER UST-$125 FE ( SHO CHEr ONLY)-REQUEST PROCESSED INS SI,ISINEqS DAYS <br /> SIGNATURE OF APPLICANT DATE also JIS <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> f Street# Street Name city - <br /> Unit1 <br /> 1, 20 , N. Sutter St. I.-- Stockton no co lsp «.0+3 010e5 <br /> 2, 22 ✓ N. Sutter St. Stockton ox co 3 Nb6 -P UrNt2 <br /> 3, 400✓l E. Main St. Stockton <br /> a• 409 E. Main Street INJ Stockton unite � <br /> 6- 6025// N. EI Dorado Street NVe Stockton <br /> 3 <br /> 9 27-// N. EI Dorado Street % Stockton rncokw w,�+3 ND C3Unit4 <br /> T, 6009,IJ N. EI Dorad "P Stockton <br /> e 31// N. EI Dorado 0 Stockton 171 unite <br /> 9. 61030 N, EI Dorado Street t� Stockton <br /> 10. Unit @ <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES � <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOU SING.ABATEMENT L_J SOLID WASTE FACILITYIVEHICLE /l-e S <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑F0o0 FACILITY ❑X WASTE TIRE U�wf 3 <br /> xQ UNDEROROUND TANK(MONITORING/REMOVAL) ❑Doe KENNEL Z DAIRY <br /> ❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> X❑TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA Q LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECOROs ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00pM(EXCLUDING HOLIDAYS) <br /> 1, List uo to ten addresses In the space above. Select the typa(s)of files from the list above by checking the approprlate <br /> box(es). At least one file type MUST be selected. fax to to 12091464-0138 or mall to the Indicated above.-0138 or mall to theRddress Indicated above. Address <br /> ranges will not be accepted .for additional assistance with Tile addresses, contact the EHD. Applications received after <br /> 3:00 pm will be processed the next buslnass day. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten (1 D) <br /> days after receipt of application. The Ries will be held for a maximum of five business days for rovlew. 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 now 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 the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> 6 Z CFc c/ 7�1 D/� 27{ T ° 0 7" <br /> •wn l�.nA 0/1N1 <br /> Received Time Aug. 30, 2013 2: 39PM No. 3955 <br />