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Jan, 24, 2008 4: 53PM P ' nced GeoEnvironmental No. 0926 P. 1/2 <br /> v �- <br /> DATE RECEIVED EHD LOG NUMBER <br /> — SAN JOA UIN COUNTY <br /> L it r!JJ ENVIRONMENTAL HEALTH DEPARTMENT a�Z. <br /> 600 East Main Street, Stockton, CA 95202-3029 �Q <br /> tit•`% 7 CODii Telephone:(209)468-3420 Fax:(209)464-0136 Web:wwwsjgov- V <br /> �A'V1 pr.coR.1, E,y PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally colavita BUSINESSIAGENCY: Advanced Geo&nvironmental <br /> ADDRESS: 837 Shaw Road Stockton, CA <br /> PHONE(1): 209 467-1006 PHONE(2): 209 483-3401 FACSIMILE! 209 467-1119 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (PIOUS allow 10 business day$from date of application sut mwAl•"Tantaave Only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQU T-E98.00 FEE A OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT M� DATE f'2yj- <br /> Electronic Information: ❑List❑Map—Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> 91ree1• Street Name City ❑ Unit 1 <br /> 5• 1501 Wet{ Chats, W Hz 3 <br /> A() 2• ( 5p,1 _ We-s4 C SZ,L#C ❑ Unit <br /> I <br /> Unit 3 <br /> 4• (4R4 soLclh ers�Iin f9 t— O _ \� <br /> !� 5• iz o7 unn 4 \ <br /> ��/\ e• I t NO N, v r. AVIA <br /> 7. I 31 SoKt1 'shin -1114 Alio N ❑ unto <br /> s. ta3'i WetI I, f 'rZ,1as1 <br /> 9. 131b cs"r g_.- AD Units <br /> 10. ! 3'10 lNos•� 4c.r W 2A:5—f <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUNOTANK(UST)CLEANUP MI (LOP) ❑HDusiNO ABATEMENT },�'�°OLID WASTE FACIUTYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY IsLWA$TE TIRE <br /> 1p'L NDERGROUND TANK(MONITORINGIREMOVAL)✓ 13 Doe KENNEL ❑ AIRY <br /> �HAZIIRDOUS WASTE GENERATORS ❑CHICKEN RANCH ❑WASTEWATERTREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑TATTOOIBGDY PIERCING ❑POOLISPA ❑LANO USE APPLICATION BITE$ <br /> ❑MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 Am5:00PM • ExCLuciNG HOUDAYS, <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)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 H any EHO flies 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 available for review. A new application may be <br /> submitted when the Dle 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$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> d <br /> END 4046WEB$9/ 7 <br />