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so 1110512012 10:35 Advanced GeoEnv, omental Inc. (p10(u094671118 P.0011001 <br /> i <br /> r• ��iC�yr�IVE® EHD LOG NUMBER <br /> DRSAN sIOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> NOV 0 5 2012 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Webb jgov,org/ehd <br /> ENVIRONMENTALHEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS Rk'LEASE APPLICATION <br /> APPLICANT: Ally Colavita and William Little BUSINESS/AGENCY: Advanced GeoEnvlronmental <br /> ADDRESS: 837 Shaw Road CITY/STATEIZIP: Stockton /CA 195215 <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 application sum ittal-'Tantedve only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST•$125 FEE(CAS OR -REQUEST PROCESSED IN 3 BUSINESS AY3 <br /> SIGNATURE OF APPLICANT 016-t, F —T_ DATE s I-7.— <br /> Electronic Information: ❑List❑Map—Description: <br /> FILE ADDRESS EMD USE ONLY <br /> Street s Street Name city e7 ELUnIt 1 <br /> U 1. 3200 Newton Road Stockton jOp1AY1, 3c rN� <br /> 2. 3300 Newton Road Stockton kjo unit <br /> 3, 3437 Newton RoadyWV Stockton <br /> 4. 3535 Cherokee Road Stockton y �Ly At 3 ,, Unit <br /> 6. 3625 Cherokee Road Stockton oo Nq Asti <br /> S. 3635 Cherokee Road Stockton 1 O"Unit 4 <br /> 7. 3645 Cherokee Road Stockton <br /> S. 3655 Cherokee Roadf. aow beloj Stockton y Ve {�,• Unite <br /> 9. 3651 Cherokee Road Stockton �f 0�}ctrtk , 7 <br /> 10- 3885 Cherokee Road Stockton Mab) p( Urdt&-2012-current <br /> Specific Date Range of Information Requested: From ���� to 0 2-Curren <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> I]UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑x SOLID WASTE FACILITY/vEHIOLE/, <br /> XI OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY 0 WASTETIRE 1 �I PS `,40 1 f 3 . <br /> x❑UNDERGROUND TANK(MONRORINOIREMOVAL) E]Doe KENNEL []DAIRY po/jI1 ff 11-7-1 -7— <br /> E] <br /> x❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATERTREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUTAPERTRUCK/YARDICHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOL/SPA ❑x LANG USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILrTY O COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the apace 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 mall to the address Indicated above. Address <br /> ranges will not be accepted-for additional seals tanc*with flle addresses,contact the EHD. Applicallona received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the eppNeant If any EHD Flies exist. An appointment for revlew will be confirmed approximately ten(10) <br /> days after receipt of application. The flies will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that 19 actively being worked on by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any Ris not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant <br /> f)k: Future file reviews by the same applicant may require a$126 deposit prior to review. <br /> l��\ ) 2 e U5-f:,, ' n ri I, „ I l I , 1• <br /> 3 5 v a 3 /i a Y/II/(Z <br /> 36b.6 Ami r 2 r 3' l c �a <br /> exots-oe r 3 Ofil. � u+n+ <br /> Receive i vv. 0: 1 ' 0. 4 <br />