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0411812012 09:32 Advanced Gr-'nviromental Inc. TAR}209 4671118 P.0011001 <br /> �j <br /> DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> RECEIVED ENVIRONMENTAL HEALTH DEPARTMENT 6(k6M <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> A Fp i g 2012 Tele hone: (209)468-3420 Fax: (209)464-0138 Web:wwwsj�ov.org/ehd ^ ` <br /> IENWRORM/ERiHAL EALT(J PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Ally Colavita BUSINESSIAGENCY:Advanced GeoEnVironmental <br /> ADDRESS: 837 Shaw Road CITWSTATEIZIP:Stockton i CA 195216 <br /> PHONE(1): 208.467.1006 PHONE(2):209-483-3401 FACSIMILE:209.467-1118 <br /> TENTATIVE'APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from data of applicatlon suurbmi al.'TenteLve only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST E(C OR CHC NLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT —�, DATE 04/19/12 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Strut a Street Name City Unlit 1 <br /> 1. 661 CARNEGIE STREET MANTECA 1 per) <br /> 668 CARNEGIE STREET MANTECA <br /> N <br /> Unit 8 -� <br /> S. <br /> o 6. y�Ily <br /> � <br /> 7. nn 4 <br /> 5 <br /> vC 8. <br /> UnkB <br /> 10. S f i2- C''J" = cD UnitB <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) R HOUSING ABATEMENT ®SOLID WASTE FACILITYNEHICLE <br /> V � ®OTHER CLEANUP SITE(NON-LOP) f2FOOD FACILITY ®WASTE THE <br /> N UNDERGROUND TANK(MONITORINo1REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ®WASTEWATERTREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPERTRUCKIYARDICHEMICALTOiLETs <br /> ❑TATTOOIBODYPIERCING ❑POOLISPA R LAND USE APPLICATION SITE$ <br /> Q C ® MEDICAL WASTE FACILITY ®COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> Q , „ WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 6:00 AM-6:00PM(EXCLUDING HOLIDAYS) <br /> s 1. List up to ton addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> _ box("). At least one file type MUST be selected. Fax to(209)464-0138 Or mail to the address Indicated above. Address <br /> H 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 /> 4– 2. The EHD will notify the applicant if any EHD files exist, An appointment for review will be confirmed approximately ten(10) <br /> a 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 available for review, Anew application maybe <br /> psubmitted when the file Is available. <br /> N 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> F......a Me reviews by the same applicant may require a 8126 deposit prior to review. <br /> o e <br /> N J USE PqV1 61— I4k Ali <br /> 1 <br /> �1t <br /> 6pe <br /> EHD r s f06) d t o ! 7t{ E� rPca d �1 <br /> dites (aDD��y <br /> �rnPla7nt caQlSo 2q oD 3�2 0 Li rev rFor 1 Ka ' t l� <br /> ' ' ► )(.IwtiIe �� I(a)6�OCing. <br />