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0411812012 09:32 Advanced G °nviromental Inc. ePAX)209 467 1118 P.0011001 <br /> DATE RECEIVED "� r— EHD LOG NUMBER <br /> SAN .IOAQUIN COUNTY nE' (VED ENVIRONMENTAL HEALTH DEPARTMENT 60� <br /> 6b <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> Telep)Z hone' (209)468-3420 Fax: (2 9) 464-0138 Web:wvwvs gov.O>r d <br /> A.PK 1 g 2 <br /> MVIRONMENTAL <br /> f'ERR9':T/SERVi^ SHEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Ally Colavita BUSINESSIAGENCY:Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATEIZIP:Stockton/CA 193215 <br /> PHONE(1): 209-467.1006 PHONE(2):209-483.3401 FACSIMILE:209.467.1118 <br /> TENTATIVE'APPOINTMENT DATE: ASAP Time: <br /> (Pleaae allow 10 business days from date of application subml •'Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST• 1 5 E(CA OR CH NLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �–• — DATE 04/19M2 <br /> Electronic Information: ❑List❑ Map–Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streets Street Name city unit 11 <br /> 1. 551 CARNEGIE STREET MANTECA <br /> 2. 535 CARNEGIE8TREET MANTECA <br /> J 3 <br /> t N CO unit a <br /> of N B. <br /> _xJIXA nit A <br /> ? 7. 5 <br /> 6• / Unita <br /> g. aGinc (r( Ch t 1�t/�� <br /> t() 10. 6A kW `J`4 IZ p.�1" �Q.LC�,.�. C'1/ Unita <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 01 ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) (�HOUSING ABATEMENT ®80LID WASTE FACILITYNEHICLE ` <br /> s ®OTHER CLEANUP SRE(NON-LOP) Iff F00D FACILITY ®WASTE TIRE <br /> N ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ®WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA ®LAND USE APPLICATION SITES <br /> Q C ® MEOICAL WASTE FACILITY ®COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> Q WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIFW: MONDAY-FRIDAY 8:00 AM-6:00PM(EXCLUDING HOLIDAYS) <br /> 1, List up to ton addressee In the apace above. Select the type(q)of files from the list above by chscking the appropriate <br /> box(es). At least one file type MUST be selected, Fax to(208)464-0138 or mail to the address Indicated above. Address <br /> N 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 EHDwill notify the applicant if any EHD files exist, An appointment for review will be confirmed approximately ton(10) <br /> C days after recelpt of application. The files will be held for a maximum of five business days for review. Appointments <br /> .a should be scheduled accordingly, <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> o aubmltted 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 file reviews by the same applicant may require a 8125 deposit prior to review. <br /> ' • <br /> N sEgy <br /> Y 7 <br /> sZ 4'. M'6NOe� r Ll LJ �7,4i rlbl—t W5-T r� <br /> - 5 <br /> EHp� s fD6)tie�rcnoiif-e� <br /> � 7733! 7�f aEn�trP�crhz1 - �J aNr�lUtU�7"sAC�UFDo©r-�t 1ray1lolboaf O4unj��•rnpndr � ArC + � N <br /> Ff3' <br />