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04/10/2015 13:1.5 (FAX) P.001(001 <br />IVED <br />to I lLCEEHD LOG NUM! R <br />�w C U SAN .IOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />APR 10 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />ENVIRONMENTAL HEALTH <br />PERMIT/SERVICES <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: William I ittle BUSINESS/AGENCY: Advanced GeriFnvironmiantal <br />ADDRESS: _337 Shaw Road CITYISTATE/ZIP: Stockton / CA / 95215 <br />PHONE (1): 209467-1006 PHONE (2): 209- FACSIMILE: -209-467-1118 <br />rp <br />TENTATIVE* APPOINTMENT DATE: Time: <br />Jf f �'' (Please allow 10 business days from data of eppllcetlon eubmhtal-'%nraNvo only -must be conDnnad) <br />❑ CHECK BOX TO EXPEDITE REQUEST <br />�-0$12 FEE (CASH OR ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANTL, X DATE (0Zf-00-C SS <br />Electronlclnformation: ❑ List ❑ Map —Description: <br />6r#1 5�90 I,,_q.ISQ *W ONLY <br />FILE ADDRESS <br />EHD USE ONLY <br />1. <br />Ct" lILIA4l <br />street iF <br />street Name <br />clry <br />1600 <br />East Louise Ave <br />T NLS_, „cp <br />ITIlt2 <br />2'365 <br />East Louise Ave <br />Lathrop <br />3.ParkwayD'ArcyLathrop <br />�t F <br />l= <br />Unit3 <br />4ParkwayDArcyLathropNI <br />Unit 4 <br />B. <br />7. <br />��c5 Gv d.Rly <br />1MEl Unit <br />a. <br />9. <br />(� <br />p'Unit B <br />10. <br />Specific Data Range of Information Requested: From all to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT X❑ SOLID WASTE FACILIiYNEHICLE <br />]OTHER CLEANUP SITE (NON -LOP) El FOOD FACILITY EWASTE TIRE <br />UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ DOG KENNEL l] DAIRY <br />HAZARDOUS WASTE GENERATOR El CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br />Xl TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEMICAL TOILETS <br />]TATTooIBODYPIERCING ❑POOLISPA M LAND USE APPLICATION SITES <br />] MEDICAL WASTE FACILITY 0 COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY B:00 AM-6:00PM (EXCLUDING HOLIDAYS) <br />1. List up to tan 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) 454-0138 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 if any EHD files exist. An appointment for review 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 Is actively being worked on by EHD staff may not he 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 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 $126 deposit prior to review. <br />(411el L <br />6r#1 5�90 I,,_q.ISQ *W ONLY <br />o hk <br />CO l -S-3 " Wvmta1777 ore- ,n41e—(4tAijP-ke cAtf4ro0Ltsul Avg. <br />Ct" lILIA4l <br />07 2&;L90 sere ;A -R — tA5T G4e Car N, 5 lave'. <br />Q9 L10J°107 ex <br />7 wutf <br />Received Tlme Apr. 10. 2015 1:12PM No.8510 <br />