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01/2012015 11:03 SAX) P.001/001 <br /> ti 0 <br /> DATE RECE EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> p 'p1� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ���\rtone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd Q© <br /> 'tgg a V <br /> rj <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESSIAGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATE/ZIP: Stockton/CA/95215 <br /> PHONE (1): 209-467-10063 PHONE(2)-209-623-7200 F ACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please slim 10 businass days from date of application submittal-"Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITER E T-$125 FEE( C CK LY)-REQUEST PROCESSED IN 3 BUSINESS(NNS <br /> SIGNATURE OF APPLICANT DATE 1/20/2015 <br /> Electronic Information: ❑-Llat❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name City EDUnit 1 <br /> 1. 3808 West Lane Stockton N <br /> 2• 4040 West Lane Stockton )6y'� {w ST is <br /> f 3• _ 4 Enter rise Stree Stockton LlY6 6•h5 v�o o P <br /> 11ff i <br /> 4. E]Unit <br /> 5. <br /> 6, �AVViatJ I�,{tTllYy L L/l Unk4 <br /> S. Unit e <br /> 9. <br /> 10. - bnit 6 <br /> Specific Date Range of Information Requested: From 811 to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑x UNDERGROUND TANK(UST)CLEANUP SITE(1.0 P) ❑HOUSING ABATEMENT Q SOLID WASTE FACILITYNEHICLE <br /> QOTHERCLEANUPSrE(NO$LOP) ❑FOOD FACILITY ❑x WASTETIRE <br /> %❑UNDERGROUND TANK(MONaORINGIREMOVAL) ❑DOG KENNEL ODAIRY <br /> ❑x HAZARDOUS WASTE G ENERATOR El CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑x TIERED PERMITTED FACILITY ❑MOTEUH OTEL ❑PUMPERTRUCIUYARDTCHEMCALTOILET$ <br /> ❑TATTOWBODY PIERCING ❑POOUSPAx❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITYX❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:13OPM(EXCLUDING HOLIDAYS) <br /> 1. list uo to ten addresses in the apace above. Select the type($)of riles from(he list above by checking the appropriate <br /> (as). <br /> At least one file type MUST be selected. Fax to(2091464.0135 or mail W the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Appllcatlons received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant H any EHD flies 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 /> 3. A file that is actively being worked an 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 some 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 /> EHD LIGE ONLY <br /> rovlkk LID INS ,64e_ Los IMG En foe &y4, en4k ¢ M1 AN •(or 4 q o LA-kL,o. <br /> CDolav 1-14r Flit tar 40 VnA La <br /> CO G't1i t "n L'al file �k :1. Gat kloua k.ea-k Line, <br /> Eau, .oe - Willi <br /> Received Time Jan. 20. 2015 10:54AM No. 1929 <br />