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SAX) P.UU11UU1 <br /> r: 0111A12014 09:07 • � w <br /> Lw _ EHD LOG NUMBER <br /> ins �gt <br /> � SAN JOAQUIN COUNTY <br /> :CREEWENVIRONMENTAL HEALTH DEPARTMENT <br /> JAN 14 2014 186B East 5205-6232 <br /> Telephone: (209)468-3420 Fax:( 209)464on -0138 Web: <br /> w9w .sfgov org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMtYISERVICC.= <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvlronmental <br /> ADDRESS: 837 Shaw Road CITYISTATE7zIP: Stockton / CA / 95215 <br /> PHONE 209-467-1006 PHONE ?na_623-7200 FACS <br /> EEIMILE: ?OA-487-1118 <br /> TENTATIVE-APPOINTMENTDATE: e ZAP Ttme: <br /> (Please allow 10 business days from data of application submittal-•Tentative only.must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE RE UEST-$125 FEE H C C ONLY)-REQUEST PROCESSED INTE I BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> 111-4 119 <br /> Electronic Information: ❑ List❑ Map- Description: <br /> FILE ADDRESS EHD USE ON <br /> F43 <br /> et# Street Name city �z'- rilunit l <br /> l a,5 N Hug �.ls� ��� <br /> ,(/� Mari osa Road Stockton <br /> I�U� Mariposa Road NFA Stockton H c Unit <br /> S. Route 99 W. Fronta a Rd, tockton "�Dbaml-a <br /> La NOfASUnit3 (/ <br /> e Mari osa Road Stockton s �^�^ /Mari osa Road StocktonSouth Hi hwa 99Stockton us A cos tj Unit4 <br /> Mari osa Road Stockton Mari osa Road NSF Stockton ��'' do C-0-'p Unit6 1 <br /> Unite <br /> 10. <br /> Specific Data Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILF� <br /> X1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT x❑SN70 WASTE FACII.ITYNEHICLE 11, vile" <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑ 1 C 11 <br /> OUNDERGROUND TANK(MONITORINGIREMOVAL) DOG KENNEL QDAIRY <br /> x❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Fx7 TIERED PEWnTED FACILITY ❑MOTELIHOTEL PUMPER OUSPA �DUSEAPPUCATIONCHEMI LTOILETS <br /> ❑T EDICALWAST FACILITY <br /> x❑COMPLAINT RECORDS ❑OTHER(PLEASESPECIFY) <br /> ❑ MEDICAL WASTE FACILITY <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-B:OOPM(EXCLUDING HOLIDAYS) <br /> 1. <br /> imm;;; <br /> o ten addressee In the apace above. Select the type($)of files from the Ilat above by checking t eted approp iatess <br /> At least one fila Lype MUST be ae(ected- Fax to(2D81484 0138 or mall to ts Indicaill not beaccepted-for additional assistance with Ne addresses,contact tpplications received after <br /> will be procasaed the next business day.2. er�recei tlfof a alpicetlonf IThe flea will be held for a mexfmu�m of flue buelneaa days for review. Appointmnfirmad ents (10) <br /> p PPbe scheduled accordingly.at Is actively being worked on by EHD aleft may not be Immedlataly evallabew. A naw appllcatlon may ba <br /> sed 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 /> a(cr 1P t\ e` Gilt i low lb <br /> (Jd s x373 <br /> z vl c •' i� ireiyi <br /> eRo�eae�L�0.. <br /> C. -:57( <br /> rf -;: c <br /> F jZ ` »n <br /> FCr .231-7 A1CA�gX'Q, Frlal r✓7 /fa <br /> y�l >nwwv <br /> C�oCC.3S"733 (.RP t7lGlc)Eded 14 I+4J File Ffr a'�7'.� nr=�rfa''4 ' "ji <br />