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03120/2013 15:02 Advanced GeoEnviromental Inc. (FAX)209 4671118 P.0011001 <br /> l�■ > <br /> ■ <br /> SAN JO (� EHQ LOG NUP✓ifaER <br /> AQ IN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAR �9, G, 2013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> E N V1 0NtK,ENIA-1t H,CIA,Ig <br /> PEPIM31 1 6 WCES' <br /> 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): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of appllcation submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITEE T-$125 FE R C 'E NLY)-REQUEST PROCESSED IN 3 B SINES DAYS <br /> SIGNATURE OF APPLICANT2 DATE <br /> Electronic Information: ❑ List❑ Map—Des ipti n: <br /> FILE ADDRESS EHD USE ONLY <br /> Street ft Street Name City LIZ 19 ,0 unit 1 <br /> 1• 21092 South Pillsbury Road Manteca +'fY'' f, ") _ <br /> 2. 3697 East Louise Avenue Manteca n Unit 2 <br /> V` 3• 2901 East Louise Avenue Manteca <br /> 4• 2901 South Airport Way Manteca ,�� i ,l�I c( G3 Unit3 ►?� <br /> 6• Unit 4 <br /> i <br /> 7. <br /> 8. 0 Unit 5 <br /> 9. <br /> 10. 1 0(lnit e <br /> Specific Date Range of Informatlon Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 0 SOLID WASTE FACILITYNEHICLE <br /> 71 OTHER CLEANUP SITE(NON•LOP) ❑FOOD FACILITY ❑x WASTETIRE <br /> � <br /> X❑UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑x DAIRY (v> � �f-1 <br /> x❑HAZARDOUS WASTE GENERATOR ' ❑CHICKEN RANCH ❑WASTEWATERTREATMENTLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATTo01BODY PIERCING ❑POOL/SPA []LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑X COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDIN(3 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 address Indicated above. Address <br /> ranges will not be accepted-for addltlonal assistance with file addresses, contact the EHD, Applications recelved 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 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 avaliable 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 appllcant may require a$126 deposit prior to review. <br /> EMD USE ONLY i <br /> ( 3?�7� `I Ao( u-m-f <br /> f�1 5 acv„ <br /> EH❑ae.oa Wil 01-7-7— / jv l iah15 `r 5 IuE� ✓� Ca aZ I S s��j/,wed <br /> Received Time Mar. 20. 2013 2:58PM No- 2606 <br />