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1011312014 17:01 (FAX) P.0011001 <br /> Y <br /> I■ \`/f�""REO ff(V SAN .JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> OCT 13 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/e d <br /> 7/57 <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 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'APPOINTM ENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of appllce n submitta l-*rontaUve only-must be con <br /> ❑CHECK BOX TO EXPEDITE RE $125 FEff( lo C C Y)-REQUEST PROCESSED IN 3 BUST SS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information: ❑ List❑ Map—Deserlpti n: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Strait Name city nit 1 <br /> 1- 740 North Cluff Ave Lodi ( C10 <br /> 2. 802 North Cluff Avg Lodi � ` unit2 <br /> 3. 1333 East Turner Rd Lodi �� I <br /> 4. nit <br /> 5. <br /> Unit 4 <br /> 7. 1tp2) <br /> 8. <br /> Unit 6 <br /> 9. / <br /> 10. <br /> L <br /> Unit 6 <br /> Speciec Date Ranee of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 11 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT ❑x SOUD WASTE FAGUrYNEHICLE <br /> Q OTHERCLEANUP SITE(NON-LOP) ❑FOOD FACILITY Q WASTE TIRE <br /> E❑UNBERGROUND TANK(MONITORINGIRU=AQ ❑DOG KENNEL DAIRY <br /> D HAZARDOUS WASTE G ENERATOR ❑CMCKEN RANCH WASTEWATER TREATMENT PLANT <br /> TIERED PERMrTTED FACILITY ❑MOTE/HOTEL ❑PUMPER TRUCK/YARDICHENIICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA Q LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RPOORLDS ARE AVAILABLE FOR REVIEW MONDAY-FRIDAY 8:00 AM-5:0OPM(EXCLUDING H OUDAYS) <br /> 1. List un to ten addresses In the space above. Select the type(a)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)484-0138 or mall to the address 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 business 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 recelpt 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 19 actively being worked on by EHD staff may not be Immedlataly 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 /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> Ertl USE ONLY <br /> END 49-08 9/1111 <br /> Received Time Oct, 13, 2014 4:45PM No. 7321 <br />