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-� U/1LItLU14 1/.LL \r AA) r.uuituUI <br />■ <br />■ IN COUNTY <br />� SAN JoAQu3 <br />JUL 2 2 2014 ENVIRONMENTAL HEALTH DEPARTMENT C (a <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />ENVIRONMENTALNFJL�Aphone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />PERMITISERVICESs <br />!� RJR <br />PUBLIC RECORDS RELEASE APPLICATION <br />L� <br />APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br />ADDRESS: 637 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: ASAP Time; <br />(Please allow 10 business days from date of application submittal - "Tanfeflve only - must be co rmed) <br />CHECK BOX TO EXPEDITE r VEST - $125 FEE (CA R CHECK LY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT .� �, (%/� DATE kQ 1 <br />Electronic Information: ❑ List ❑ Map – Description: <br />FiLE ADDRESS EHD USE ONLY <br />Street # street Name City c3D Unit 1 <br />1• <br />2360A. <br />East Street i •�% ; ' " ' Trac bGI�S <br />East Grant Line Road j,�Y .�-' — F r unit 2 <br />2. <br />3 1 <br />3.I�d3 <br />275 <br />T LA� C �Z +I �ti1tc T�Uw�r 3 <br />_ <br />.&l,t3 <br />4. <br />` <br />6. <br />- <br />ft rtCi'�� <br />MMiiirll' <br />- -- <br />Holiv I ,— rJCCL�� 'nit4 <br />6- <br />2421 <br />7, <br />'jCi� <br />West Trac� <br />rant Line RM, <br />8. <br />El Unit <br />Specific Date Range of Information Requested: From all (�° — ,/ to ' \' <br />�� - Ld-) 7 ENVIRONMENTAL HEALTH DEPARTMENT -FILE$ * pn\y <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT _ X❑ SOLID WASTE FACIUTYIVEHICLE <br />jX11 X OTHER CLEANUP SITE (NON -LOP) ❑FOOD FACILITY ❑X WASTETIRE $ 001 �I &i t�K� <br />�c a nXX UNDERGROUND TANK (MONITORINGIRUIOVAL) ElDOG KENNEL ,Q DAIRY '� br`w I I t✓� <br />4,0 HAZARDOUS WASTE GENERATOR 4 01 -LI) %-' ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br />M TIERED PERMITTED FACILITY k enls al 1 ❑ MoTELIHOTEL ❑ PUMPERTRUCKIYARDICHEMICALTOILETS 1 ' <br />❑ TATTOO/BODY PIERCING ❑ POOLISPA LAND USE APPLICATION SiTES I. tXAkL V I <br />❑ MEDICAL WASTE FACILITY ')�❑X COMPLAINT RECORDS R On\y 3r i ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br />1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax to 209 464-0138 or mail to the addrer,5 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 bualnesg day. <br />2. The EHD 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 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 retumed In the same 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 />S Fri . ,�2:.z C-r.r-rdf I"vi e , , <br />//' I`-� btuz. <br />.A..� �:1v Grcr'I, h•iA,_1c1L1 �1a�1 1\iaf)'lCM J1rk I I`.�"I— 1z'. Yx7 �9�#I <br />Received Time Ju1,21, 2014 5:10PM No.6658 <br />