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0312012015 11:36 ) P.0011001 <br /> Na <br /> ■ / EHD LOG NUMBER <br /> ■ DATE RECENED <br /> '� SAN .1OAQUIN COUNTY <br /> (dIAR 2 0 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205232 <br /> �fi�ll;I–NN4EN,,1J_1T All 1ione: (209)468-3420 Fax: (209)464-0136 Web: www.sjgov.org/ehd <br /> E12"AIT/3Etvi� <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeaEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATE21p: Stockton / CA/95215 <br /> PHONE (1): 209-467-1006 PHONE(2): 209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of appllcatlo ubmittal-" fadv only-must be confirmed) <br /> ❑ CHECK BOX To L)(PI;D U T- 125 FEE(CA CK ON -REQU r PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICA DATE <br /> Electronic Information: ❑List❑ Map–Descrlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> $frost Street Name City 'Unit i <br /> 1. , Unit 2 3 <br /> 2. 2 <br /> 3. 48U— South AirporL Way-- Stockton <br /> 4. 4807 South Airport Way StocktQn Unit 3 � <br /> b. 4800 S uth Airport Way Stocktonlir <br /> G. 1888 khead CQurt 9tQckton Unit 4 <br /> 4*107�bn <br /> 7. ton8 %��I1� Units <br /> **Address lines 4 - 7: Only requesting to <br /> e" review UST and LOP/ LUST files'`*� o'rl ��� 15 ElU�6 <br /> 10. <br /> Specific Data Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSIMA13ATEMENT x❑SOLID WASTE FACILITYNEHICLE <br /> x]OTHERCLEANUP SITE(NON-LOP) ®FOOD FACILITY ❑WASTETIRE <br /> El UNDERGROUND TANK(MONITORINWREMDVAL) ®DOG KENNEL. DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASrEWATERTRFATrlENT PLANT <br /> 0 TIERED PE NIITTEDFACILITY ❑MOTELIHOTEL. ❑PUMPER TRUCKIYARDiCHEMICALTOILETS <br /> ❑TAEDICAL WASTE FACILITY DY PIERCING POOLJSPA LAND USE®COMPLAINT RECORDS Q OTHER(PLEASE PECIF1SuES <br /> ❑ MEDICAL ❑ <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AWs'.0OI'm(EXCLUDING HOLIDAYS) <br /> 1. List un to ten addresses In the space above. Select the type($)of files from the[let above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax r mall to the add s Indicated above. Address <br /> ranges will not be acceptad-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 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 avallable for review. A now application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned In the same condition as released will be reorganlzed 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 /> EHD U9E ONLY <br /> arms <br /> EHD 4®-06 <br /> Received Time Mar, 20, 2015 11 : 33AM No. 8374 <br />