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08102/2012 16:34 Advanced GeoEnviromental Inc. OWW94671118 P.0011001 <br /> TATE RECEIVED SAN JOAQUIN COUNTY =NU U NU[VlbtH <br /> EI V ED ENVIRONMENTAL w <br /> O MENTAL HEALTH DEPARTMENT <br /> T + F <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 ~ <br /> 0 2 Uephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd ,' J <br /> ENVIR LTH <br /> TRISEl HEA <br /> F <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Robert MartV BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton / CA /95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209-969-3239 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal-*Tentatt"only-must be conflrmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST- 5 FE MRCHIECKON REQUEST PROCESSED IN 3BUSINESP DAYS <br /> SIGNATURE OF APPLIGANT_x DATE 0 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY / <br /> Street Street Name City -0unit 1 <br /> 1• 1023 E VINE ST LODI /06 <br /> 2• 820 S CLUFF AVE LODI '' pf2 <br /> 3 1025 IND $TRIAL WAY LODI Z I • �dn/`!� <br /> 4' Unita <br /> S. -U Ito <br /> 7. <br /> 8Q Unit 6 <br /> 9. <br /> 2IJ <br /> 10. nits <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLEq // ^ <br /> (]OTHER CLEANUP SITE(NON-LOP) F1 FOOD FACILITY 0 WASTETIRES� fi (QS / 0 1(4/ <br /> 0 UNDERGROUND TANK(MONITORINGIREMOVAL)DL, ❑Doo KENNEL O DAIRY ?j_. �- 10—tZ <br /> x❑HAZARDOUS WASTE GENERATOR pL ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> EITIERED PERMITTED FACILITY pt ❑MOTELIHOTEL ❑PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOIISPA ❑x LAND USE APPLICATION SITES <br /> ❑ MEDICALWASTEFACILITY 0 COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM.S:OGPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(a)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 laWcated above. Address <br /> rangesawlll 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 If any EHD files exlst. An appointment for review will be confirmed approximately ten(10) <br /> day@ 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 file is available. <br /> 4. Any file not returned In the same condition sa released will be raorganlzad by EHD ataff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$126 deposit prior to review. <br /> EHD USE ONLY <br /> °Received Time Aug, 2. 2012 4: 31FM No. 0721 ennt <br />