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05/14/2013 11:30 Advanced GeoEnviromental Inc. TAX)209 467 1118 P.0011001 <br /> DATE RECEIVED EHD LOG NUMBER <br /> 4aFnq% fr7, SAN .10AQU1N COUNTY <br /> ` h= - 4 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1888 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> MAY 1 fifephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> (=fJ1F;�:R"."•�i�i�,'.IFi!(_•c�%.I_,-I.j - .x, <br /> PERMIT/SSWICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATEIZIP: Stockton/ CA/95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE"APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of appllcatlon submittal-•Tenfa0ve only-must be conllm,ad) <br /> ❑CHECK BOX TO EXPEDITE R UE T-$125 F E( H K ONLI�-REQUEST PROCESSED IN 3 DU (NESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List❑ Map-Description: ' <br /> FILE ADDRESS EHD Usti ONLY <br /> Street Street Name city <br /> Unit 1 <br /> 1• 1120 E_ March Ln Stockton 11 NO crjr7f, <br /> 4915 Clower St Stockton f J 1N fl Mnit 2 <br /> 1208 7 E. March Ln Stockton 9� � <br /> {4. 4 moi) Q 1 A1�. <br /> nit 3 <br /> r, S. , <br /> (� Unit 4 <br /> 7. <br /> SL3 Unit <br /> 9. <br /> 10. -unite <br /> Specific Data Range of Infomiatlon Requested: From ali to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERORCUNDTANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT OSOLID WASTE FACILRYNEHI`ChLE/i' n <br /> X❑OTHER CLEANUP SITE(NON-LOP) ` ❑FOOD FACILITY x❑WASTE TIRE -Tl.-�i•�P j /(r W'I �• <br /> x❑UNDERGROUND TANK(MONITORINOIREMOVAL),,�— ❑DDD KENNEL 0 DAIRY I"' <br /> x❑HAZARDOUS WASTE GENERATOR,/_ ElCHICKEN RANCH L]WASTEWATERTREATMENT PLANT <br /> x❑TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA ®LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑x COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW:.MONDAY-FRIDAY 8:00 AM-5:0OPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464.0138 or mall to the address Indicated above.. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. 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 flies will be held for a maximum of five business days for review. 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 new 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 ex enss of the applicant. <br /> Future f lI reviews by the same applicant may require a$126 deposit prior to view.— U W 1 <br /> •) I f f)f_).1 ..5 I a; - p 17f%`J (p, hol 4 Q'77 04J,5 H (�G �I//' - <br /> JNW WM) �t- l 1eJ11 4-rF f/�< <br /> e o arae n <br /> Received Time May. 14. 2013 11 : 26AM No. 3101 <br />