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r: ILIZ114uIL Tb:IZAavanceciGeOEnvirementalInc. (FAX)2094671118 P.001/001 <br />DATE RECEIVED EHD LOO NUMBER <br />RECEIRECEIVED _ SAN JOAQUIN COUNTY <br />VED ENVIRONMENTAL HEALTH DEPARTMENT <br />DEC 21 201 1868 East Hazelton Avenue, Stockton, CA 95205-6232 �/7 <br />Z& <br />elephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd / / <br />ENVIRONMENTAL HEALTH <br />PERMITfSERVICES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: AIIV Colavita BUSINESS/AGENCY: Advanced GeoEnvironmental <br />ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton / CA / 95215 <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 submittal -'Tentative only -must be conflrmed) <br />❑ CHECK BOX TO EXPEDITE REQU T - 81K ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT614— 25 FE CAS R HECDATE I2_ 2 r1r z. <br />Electronic Information: ❑ List ❑ Map— Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />Unit 1 <br />street Y <br />Street Name <br />city <br />1. <br />18754 <br />East State Route 26 <br />Linden <br />) ^KI ��14 <br />N�ap, Unit2 <br />3. <br />Unit a <br />a•000 <br />S. <br />Unit 4 <br />g• <br />7. <br />Unit 6 <br />B•0 <br />B. <br />a4nit e <br />I a. <br />Specific Data Range of Information Requested: From all to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />x❑ UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑HOU81NOABATEMENT ESOLID WASTE FACILITYIVEHICLE <br />x❑ OTHER CLEANUP SITE (NON•LOP) ❑ FOOD FACILITY Q WASTE TIRE <br />❑ UNDERGROUND TANK (MONRORINOIREMOvAL) ❑ DOG KENNEL ❑ DAIRY ��/✓� I _' <br />Q HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER i REATflIENT PLANT <br />0 TIEREo PERMITTED FACILITY ❑MOTEUHOTEL ❑ PUMPER TRUCKIYARDICHEMICALTOILETS <br />❑ TATTOO/BODYPIERCING ❑ POOLISPA I] 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 8:00 Am-5:00PM (EXCLUDING HOLIDAYS) <br />1. List up to ten addresses In the apace above. Select the type(o) of files from the flet above by chocking the appropriate <br />box(es). At least one file type MUST be sefentad. Fax to (209) 464.0138 or mall to the address Indlcotad_akove. Address <br />ranges will not be accepted - for additional assistance with Tile 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 ravlow 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 fife that Is actively being worked on by EHD staff may not be Immediately available for review. A now application may be <br />submitted when the file le available. <br />4. Any fife not returned In the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br />euEura me reviews my Lne mama appecum "guy ,uyuuu a'. r.a ..poor. pn.. <br />GHD USE ONLY <br />rRece-i ved Time Dec. 91. 9019 4:09PM No. 1952 ennl <br />