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■ <br /> 0210112013 15:51 Advanced GeoEnviromental Inc. OAX)209 4671118 P.0011001 <br /> r. <br /> I ■ DATE RECEIVED EHD LOG NUMBER <br /> ���; SAN JOAQUIN COUNTY <br /> '' X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ZQephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> I��ti O tUyE T�.�eE' fk I <br /> 4m" PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally Colavita BUSINESS/AGENCY: Advanced Geo Environmental <br /> ADDRESS: 837 Shaw Road CITY/STATE0112: Stockton /CA/95215 <br /> PHONE(1). 209-467-1006 PHONE(2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTAT/VE'APPOINTMENT DATE: ASAp Time: <br /> (Please allow 10 bualneaa days from date of application submittal-*Tentative only-must be confinnod) <br /> ❑CHECK BOX TO EXPEDITE REQUES - 125 FEE(C H 0 HE K ONLY)-REQUEST PROCESSED IN 3 BUSINF-69 DAYS <br /> SIGNATURE OF APPLICANT DATE Z- <br /> Electronic Information: ❑ Llst❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street f1 Street Name city0 Unit 7 <br /> 1. 2506 Maggio Circle Lodl : (fin i t 3 , D °� ; I <br /> 2. 2370 Maggio Cirlee Lodi 171 Unit2 <br /> 3. 309 Driftwood Drive Lodi! <br /> t�PMAIC <br /> fj <br /> 4• 3105 S. El Dorado Street Stockton . i2 ULJ Unit 3 <br /> 6• 3147 S. EI Dorado Street Stockton <br /> B• 3134 Fairmont Avenue �. Stockton 1V1 ZI Unit <br /> 7. 4 <br /> 08 Fairmont Avenue Stoaktonr <br /> 8. 171 Unit a <br /> 9. <br /> 10units <br /> Specific Dote Range of Information Requested: From al I to <br /> ENVIRONMENTAL.HEALTH DEPAIRVMr.NT FILES <br /> ❑X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABAT6Ml_NT Q SOLID WASTE FACILITYIVEHICLE <br /> ❑x OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY WASTE TIRE t-, � ' 3. <br /> SII <br /> ❑x UNDEROROUND TANK(MONITORINGIREMOVA4;71)1 ❑D00 KENNELx❑DAIRY <br /> 71HAZARDOUS WAST909NERATOR:�4, ❑CHICKEN RANCH ❑WASTEWATERT REATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TATTOo/BODY PIERCING []POOLISPA d LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY X❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARC AVAILABLE POR REVIEW: MONDAY-FRIDAY 6:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to tan addreases In the space above. Select the type(s)of tiles from the list above by checking the appropriate <br /> box(03). At least one file type MUST be selected. Fax to(208)464-0138 or mall to the address Indlgated above. Addrees <br /> range will not be accepted-for additional saalstanee with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> Z. The RHO will notify the applicant If any EHD tilos exist. An appolntmant for review wIP - <br /> days after receipt of application. The files will be held for a maximum of five buelnea: To view the HMMP(Hazardous <br /> should be scheduled accordingly.. <br /> 3. A file that la actively being worked on by SHD staff may not be Immediately available Materials Management Plan)go to the <br /> submitted when the file ie available. following website:www.sjoesdata.org <br /> 4. Any file not returned In the same condition as released will be rnorganlxed by EHD at <br /> Future file reviews by the name applicant may require a$125 deposit prior to review. <br /> Q. � <br /> � ,i,-.- ,,` � �✓� � i � �� i � •� � f"r' 2 G'ti / ;�,� t7 I 1 �I )280. �% <br /> rt :� 1 n $ _)3�' ' U61.00. e <br /> 1 ( /11 fr lfl' U�; IIS k'� 6 1 I5�Oi,,L krdir� ­Llv lea;f,767V <br /> e o a-oa snN1 <br /> Received Time Feb. 1. 2013 3:47FM No. 2214 r <br />