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• 09(1612014 16:27 C 0011001 <br /> 00 F• <br /> ta° TIFE SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SEP 1 0 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 jS11 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> ENVIRONMENTALHEACCH <br /> PER14IT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESSIAOENCY: Advanced GeOEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton / CA/95215 <br /> PHONE (1): 209067-1006 PHONE (2): 209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal-'T•niadva only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$125 EEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 1 .�'�A DATE If Ll <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> stast 0 Street Name City unit t <br /> 17r,QQ Shwdeler Parkway Lathrop <br /> 2• wu <br /> a4ofk _ NomUnk2 g - 17700 deler Parkway', , Lathro <br /> / <br /> 4• 2427 Yosemite Avenuew: ' . Lathrop M re I a No)Chdrr;k3 <br /> S. 2112 -, ?;a_nEast Louise Avenue <br /> B. — Nt^t MIt1 tl k4 <br /> B. 0 Unit <br /> 19HO auii'aG I <br /> Speclflc Data Rangu of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT QSOLID WASTE FACILITYNEHICLL r)Iz'� <br /> ❑x OTHERCLEANUPSITE(NON-LOP) ❑FOOD FAciufy ❑x WASTE TIRE Ltnt{' 4 <br /> ❑x UNDERGROUND TANK(MONrrORINGIRFmvAL) ❑DOG KENNEL DAIRY <br /> DHAZARDOUSWASTEGENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANr q-2- <br /> ❑X TIERED PERMn7EDFACiUiY ❑MOTEUHOTEL ❑PUMPERTRUCK/YAPWCHEMICALTOILETS <br /> ❑TATr001BODY PIERCING ❑POOUSPA (]LAND USE APPUCATDN SITES <br /> ❑ MEDICAL WASTE FACILITY ❑x COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERNNT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 ANE5:00PM(EXCLUDING HOLIDAYS) <br /> 1. Ust uo to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). Al least one file type MUST be selected. Fax to(209)464.0138 or mail to Tho 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 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 as released will be reorganized by EHD staff at the expense of the applicant <br /> Future file reviews by the same applicant may requirea$125 deposit prior to review. <br /> St P nc us ties �u�,oer�c�a�a I D eEidm Jlet 0 >r _ tel/ Cauts� <br /> L LU? <br /> ReCeiv d Tim Sep. 16, 2014 4: 15PM No. 7070' 3 stn, <br />