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■� 0711212013 10:59 X"X) P.0011001 <br />■■DATE1 F-,ECE1VeD"' ['A J4f EMD LOO NUMBER <br />� ; SAN JOAQUIN COUNTY <br />■ r.:� <br />ENVIRONMENTAL HEALTH DEPARTMENT _ <br />JUL a 2013 1868 East Hazelton Avenue, Stockton, CA 95205-8232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd, <br />E N11 -ArP 9,ENTA %NEA1Tl-1 <br />pal"I91 r�7 r!* <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: AIIV Colavita BUSiNESSIAGENcY; Advanced Geo Environmental <br />ADDRESS: 837 Shaw Road CITY/STATEIZIP.- Stockton / CA / 95215 <br />PHONE (1): 2Q9-467-1006 PHONE (2): 209-483-3401 FACSIMILE: 209-407-1118 <br />TENTATIVE* APPOINTMENT DATE: ASAP Time: <br />(Please allow 10 business days from date of application submittal - •TenfaUve only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUEST - 125 FEE (C 0 H K ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE 7/12/13 <br />Electronic Information: ❑ List ❑ Map —Description: <br />Date Range of Informatlon Requastod: Eram <br />FILE ADDRESS <br />EHD USE ONLY <br />Unit 1 <br />ENVIRONMENTAL. HEALTH DEPARTMENT FILES <br />Street # <br />Street Name <br />City <br />1• <br />20500 <br />HOLLY DRIVE <br />TRACY <br />`� �'� `%'C7 't� <br />`' Nc'c0 Unit2 <br />2. <br />9409 <br />WEST ARBOR AVENUE <br />TRACY <br />3. <br />HAZARDOUS WASTE GENERATOR <br />❑ <br />CHICKEN RANCH <br />Units <br />171� <br />4. <br />❑ <br />MOTELIHOTEL <br />❑ <br />6. <br />❑ <br />POOLISPA <br />❑ <br />Unit 4 <br />8• <br />COMPLAINT RECORDS <br />7. <br />J <br />LJ Unit 6 <br />a. <br />I <br />9. <br />pr nit B <br />10. <br />Specific <br />Date Range of Informatlon Requastod: Eram <br />all <br />ENVIRONMENTAL. HEALTH DEPARTMENT FILES <br />❑X <br />UNDERGROUND TANK (LIST) CLEANUP SiTE (LOP) <br />❑ <br />HOUSING A13ATEMENT <br />Q <br />OTHER CLEANUP SITE (NON -LOP) <br />❑ <br />FOOD FACILITY <br />Q <br />UNDERGROUND TANK (MONITORING/REMOVAL) <br />❑ <br />Do0 KENNEL <br />M <br />HAZARDOUS WASTE GENERATOR <br />❑ <br />CHICKEN RANCH <br />❑ <br />TiERED PERMITTED FACILITY <br />❑ <br />MOTELIHOTEL <br />❑ <br />TATTOO/BODr PIERCING <br />❑ <br />POOLISPA <br />❑ <br />MEDICAL WASTE FACILITY <br />0 <br />COMPLAINT RECORDS <br />to <br />M SOLID WASTE FACILITYNEHICLEI <br />EE WASTE TIRE Ll f'i���J 1 Q✓ (fel <br />DAIRY <br />Q WASTEWATER TREATMENT PLANT <br />❑ PUMPER TRUCKIYARD/CHEMICAL TOILETS <br />D LAND USE APPLICATION SITES <br />❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-6:00PM (EXCLUDING HOLIDAYS <br />1. List up to ten addresses In the apace above. Select the type(a) of filea from the list above by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax to (2091484-0138 or mall to the address indicated above. Address <br />range9 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 END 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 a3 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 depo9lt prior to Irevlew. <br />�� YXI � (� <br />e11111 <br />Received Time Jul. 12. 2013 10:54AM No. 3577 <br />