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1(- <br />Pf <br />07112/2013 10:59> P.0011001 <br />DA VSD-" �`� • EMD LOO NUMBER <br />����q # t SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />JUL 12 2013 1868 East Hazelton Avenue, Stockton, CA 95205-8232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0136 Web: www.sjgov.org/ehd <br />ENWRONMENTA HEALU-1 <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Ally COIaVIta BUSINESS/AGENCY; Advanced Geo Environmental <br />ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton / CA / 95215 <br />PHONE 0): 209-467-1006 PHONE (2): 209-483-3401 FACSIMILE: 209-467-1118 <br />TENTATIVE'APPOINTMENTDATE: A4gp Time: <br />(Please allow 10 business days from date of application submittal -'Tentallvo only - must bs confirmed) <br />❑ CHECK BOX TO EXPEDITE REOUES7 - 125 FEE (C 0 H CK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE 7/12113 <br />Electronic Information. ❑ List [I Map—Description; <br />FILE ADDRESS <br />EHD USE ONLY <br />�` j '�� Unit 1 <br />Street a <br />Street Name <br />city <br />1• <br />20500 <br />HOLLY DRIVE <br />TRACY <br />u5�, `=r 1 <br />171/Unit2 <br />2. <br />9409 <br />WEST AR OR AVENUE <br />TRACY <br />3. <br />El UnIL3 <br />4. <br />6. <br />Unit 4 <br />8' <br />Unit 6 <br />8. <br />9. <br />p' nit 8 <br />10. <br />3peclNc Date Range of Information Requested: From all to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT M 80LID WASTE FACILITYIVEHICLE {z <br />] OTHER CLEANUP SITE (NON -LOP) [I FOOD FACILITY ❑X WASTETIRE Li �I�� fif)✓�1i 1 <br />UNDERGROUND TANK(MONITORINGIREMOVAL) El Doe KENNEL ❑x DAIRY �4j I -ZZ -(3 <br />HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH i] WASTEWATER TREATMENT PLANT <br />X1 TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPERTRUCKIYARDICHEMICALTOILETS <br />TATTOO/SODY PIERCING ❑ POOLISPA 0 LAND USE APPLICATION SITES <br />] MEDICAL WASTE FACILITY ❑X COMPLAINT RECORDS ❑W49R(PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 5:00 AM-6:00pm (EXCLUDING HOLIDAYS) <br />1. List us to ten addresses In the apace above, Soleot the type(e) of files from the list above by checking the appropriate <br />box(as). At least one file type MUST be selected- Fax to (2091484.0135 or mall to the address indicated above. Address <br />ranges will not be accepted - for additional assistance with Nle addresaaa, contact the EHD. Applicatlons received after <br />3:00 pm will be processed the next business day. <br />2. The EHD will notify the applicant if any EHD files exlat. 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 boing 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 Nle not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br />Future Nle reviews by the same applicant may require a $125 deposit prior to review. <br />law -W-010 HE IMMIRRUPINNIFAM <br />RRONNOWIWIP'"A --li1�I:CF/l� <br />Received Time Jul. 12, 2013 10:54AM No. 3577 Willi <br />