Laserfiche WebLink
■� 0712412012 16:52 Advanced GeoEnviromental Inc. (FAX)209 4671118 P.0011001 <br />■ <br />■ D IV W❑� i EMD LOG NUMBER <br />SAN JOAQUiN COUNTY <br />i ENVIRONMENTAL HEALTH DEPARTMENT., <br />JLI1 .- 2 5 2011 1868 East Hazelton Avenue, Stockton; CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Ally Colavita BUSINESS/AGENCY: Advanced GeoEnvironmental <br />ADDRESS: 837 Shaw Road CITY/STATEIZiP: Stockton / CA / 95215 <br />PHONE (1): 209-467-100 PHONE (2): 209-483-3401 FACSIMILE: 209-467-1118 <br />TENTATIVE* APPOINTMENT DATE: ASAP Time: <br />(Please allow 10 businass days from date of application submittal -'Tentative only - must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUEST - $125 FEE (C OR CK NLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT �DATE 07/24/12 <br />Electronic Information: []List ❑ Map - Description: <br />FILE ADDRESS EHD USE ONLY <br />Street # Street Name City 0 Unit 1 <br />11• <br />5277 <br />Escalon Bellota Road <br />Farmington <br />Farmin ton unite <br />2. <br />7011 <br />Escalon Bellota Road <br />3. <br />7303 <br />Escalon Bellota ,Road <br />Farmington s <br />Farmin ton EI u it 3 <br />4. <br />7337 <br />Escalon Bellota Road <br />6. <br />24611 <br />Gawne Road <br />Escalon <br />Escalon <br />S. <br />24772 <br />Gawne Road <br />7. <br />24795 <br />Gawne Road <br />Escalon <br />❑ Unit 6 <br />8. <br />9. <br />1 <br />p'unh e <br />10. <br />Specific Data Range of Information Requested: From all I to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />Q UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT El SOLID WASTE FACILITYNEI�CLE <br />❑X OTHER CLEANUP 517E (NON -LOP) F7 FOOD FACILITY 91WASTE TIRE Ih IP /?J / <br />Q UNDERGROUND TANK (MONiTORINGIREMOVAL)/- ❑ DOG KENNEL ❑X DAIRY Z- -C-7- <br />X❑ HAZARDOUS WASTE GENERATOR%4` ❑ CHICKEN RANCH ❑ WA6TEWATERTREATMENT PLANT <br />Q TIERED PERMITTED FACILITY ` ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEMICAL TOILETS <br />❑ TATTOO/BODY PIERCING ❑ POOLISPA Q LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY 7 COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARL AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br />1. List ua to ten addresses In the space above. Select the type(s) of filee 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 mall to t e eddreaa Indicated above.- Address <br />ranges will not be accepted - for additional assistance with file addreasea, contact the EHD. Applications received after <br />3:00 pm wlli be processed the next business day. <br />2. The EHD will notify the applicant If any EfHD files exist. An appointment for review will be confirmed approximately ton (10) <br />days after receipt of application. The files will behold 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 as released will be reorganized by EHD staff at the expense of the applicant. <br />Futuro file reviews by the same applicant may require a $125 deposit prior to review. <br />E:HO USE: ONLY <br />EHo 48•aa _TTTTrm <br />Received Time Jul•24. 2012 4:49PM No.0629 <br />9 <br />T -z,. - <br />