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1011312014 17:01 (FAX) P.001/001 <br />I�.�EHD LOG NUMBER <br />DA <br />SAN JOAQUIN COUNTY f <br />MMM ENVIRONMENTAL HEALTH DEPARTMENT <br />OCT 1 3 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ <br />ENARONMENTALHEALTH <br />PERMITISERVICES 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 data af uppllcat11on submittal - "Yentative WI—y. must be con <br />❑ CHECK BOX TO EXPEDITE REQWE7. $1125 FEE ( O (C C Y) -REQUEST PROCESSED IN 3 BUSI ESS DAYS <br />SIGNATURE OF APPLICANT DATE <br />DATE <br />Electronic Information: ❑ List ❑ Map — Descrlptl n: <br />FILE ADDRESS <br />EHD USE ONLY <br />nit 1 <br />Street 0 <br />Street Nam@ <br />City <br />1. <br />740 <br />North Cluff Ave <br />Lodi <br />N: t <br />-160>1iii un <br />2. <br />802 <br />North Cluff Ave <br />Lodi <br />3. <br />1333 <br />East Turner Rd <br />Lodi <br />q�.r ,, ;, ,,.°' z l C' <br />nit 3 <br />4. <br />5. <br />Unit 4 <br />6• <br />7. <br />D Unit 6 <br />B. <br />9. <br />/ <br />/0 Unit 6 <br />10. <br />lo� <br />)0'2� <br />Specific Date Range of Information Requested: From all to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />X❑ UNDERGROUNDTANK(UST)CLEANUPSTTE(LOP) ❑HOLNNGABATEMENT [ SOLID WASTEFACIUTYNEHILE <br />XQ OTHER CLEANUP SITE(NON•LOP) FODD FACILITY QWASTE <br />TIRE (.i �(✓S Jt>i t/ <br />21 UNDERGROUND------ -. _ i L(1 r/ -i kii'J-W�I( <br />I]HAZARDOUSW 10-7jI_lti • 6000z('}€_Cret 5"116) ( RTREATPbl'PLANT <br />❑X TIEREDPERMIT ICRIYARDICHEMICALTOiLETS <br />❑TATiodBODYI )0 �(-ILr $Q✓It�145 T�GlrPryj i���p�{�¢t/jl y0�i4N NMI PPUCATIONSTTTS <br />3 ❑ MEDICAL WASI P-Dvtd_e on ,17.ini 1-1 {o o- co Ia>+te. ASE SPECIM <br />g� <br />." <br />13r` <br />M <br />55 <br />W ELL AND SE <br />1. List up to tE <br />box(es). At <br />ranges will <br />3:00 pm wil <br />2. The EHD wl <br />days atter r <br />should be a <br />123-(U • Q`O cW%�Gn1(Q r0?dXCLUDING HOLIDA <br />YS) <br />4�$'DZGG p 4)4 Wa V/ky— (/.5 (d- Ig the appropriate <br />e dtern <br />Zlabove, <br />Il'Is. Fo Ilo�i„y (0 I'll nth cif @ s q s/e �aed Ntiu �k �r <br />(1,pQl r pQ 6 5 approximately ten (10) <br />t (Dlorp_p 019 0 5 #9507!0) : UA'R1ADPbs w. Appointments <br />$p�_(i0✓I r 49 Doo 0 6 5 a yb -D-7 p1 <br />Sg�-! On dfD o00 Sct Sd - Y'0 P ��• n N� OrOQ�S aw application may be <br />Ge�io��..II'.� comi��t4 Ce�,ryy�t�6qu�/-losAl� 14r�/�`/;� <br />OT SIeI/I/J?ot & fog 6�Z so of the applicant. <br />rrr���ttU//f 5 <br />Mal% ..,IiJllL1�f7 <br />1war Mr. -- .A <br />EHD 4e -0e Eald y Qr75 Ia 19- t l <br />Received Time Oct.13. 201 <br />Gtn <br />F� <br />>7 <br />rD0001d49(� R-rf>i) z:A"file fa� tis3Tttrn/A�Pic05iE513 Pi)c(CuF{ <br />4: 45PM No. 732110'1 lU: teaolu cvaD3taoz ptslor)On u hr oo fo. <br />LOW, OO(,&5,oro)'�uxp2Es6jzl1/av�Mdcv-�tle��cir�e✓IekfJt0fo'Soz�� <br />