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0112012015 11:03 (FAX) P.0011001 <br />■ <br />■� DATE RECE 1Q5Q1 EHD LOG NUMBER <br />■ VSAN JOAQUIN COUNTY <br />ENVIRONMENTAL. HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />one: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Rebecca Natal BUSINESS/AGENcY: Advanced GeoEnvironmental <br />ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton/CA/95215 <br />PHONE (1): 209-467-1006 PHONE (2):209-623-7200 FACSIMILE: 209-467-1118 <br />TENTATIVE* APPOINTMENT DATE: Time: <br />(Plaase allow 1 D business days from date of application submittal - "Tenfarlve only- must be confirmed) <br />❑ CHECK BOX TO EXPEDITE R E T - $125 FEE ( C CK LY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT �5DATE 1/20/2015 <br />Electronic Information: ❑ List ❑ Map — Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />% Unit 1 <br />Street 9 Street Name <br />City <br />1• <br />3808 West Lane <br />Stockton <br />joF K - <br />f �^ {V✓ ST 1t2 <br />2. <br />4040 West Lane <br />Stockton <br />3• <br />4 Enterprise Street <br />Stockton <br />L -t >` hS VG� P <br />W /Unit3 <br />4. <br />iA-A V� co <br />5. <br />('017�1�d�?o 0�tleJt 1 ❑✓ Unit4 <br />6. <br />Unit 5 <br />8El <br />9. <br />'Onit 6 <br />10. <br />Specific Date Range of Information Requested: From all • to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />0 UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENTx❑ SOLID WASTE FACILITYNEHICLE <br />El OTHER CLEANUP Sri E (NO$LOP) ❑ FOOD FACILITY x❑ WASTE TIRE <br />Q UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNELx❑ DAIRY <br />0 HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br />Q TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCF(IYARDICHEMCALTOILETS <br />❑ TATTOOIBODY PIERCING ❑ POOUSPA-x[�] LAND USEAPPLICATION SITES <br />❑ MEDICAL WASTE FACILITY ❑ COMPLAINT RECORDS ❑ 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 up to ten addresses in the space above. Select the type($) of files from the list above by checking the appropriate <br />box(ea). At least one file type MUST be selected. Fax to (2091464-0138 or mail to the addre$s indicated above. Address <br />ranges will not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after <br />3:00 pm will be processed the next business day. <br />2. The EHD will notlfy the applicant if any EHD files 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 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 some condition 29 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 />EHQ LGE ONLY <br />reviled, LQ wAtA m ge- Loo 1146 En rise c,,)w4k ¢ A • IiN 4t 40 o LA-kL.,. <br />COola0 1-kt,- flee- &rr 40 utst Lm,.., <br />tymp C0 L,0611i L :n L tj, flle ;i 2, �jr '40u.1 �_tq Lune, <br />emu -4e.oe <br />Received Time Jan.20. 2015 10:54AM No -7929 <br />Willi <br />