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'o 10/22/2013 14:23 (��J) (FAX) P.0011001 <br /> lob �"" • <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENI E�M�S�Rvlc�one: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> P <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally Colavita BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATEOP: Stockton / CA/ 95215 <br /> PHONE 0): 209-467-1006 PHONE(2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE`APPOINTMENT DATE: �gAp Time: <br /> (Please allow 10 bualneao days from date of application submittal-`Tentative only-must be confirmed) <br /> [:] CHECK BOX TO EXPEDITE REQU T-$125 FEE ASH O HECK ONLY)-REQUEST PROCESSED IN 3 BUB ESS D Ys <br /> SIGNATURE OF APPLICANT Q DATE 10 71111 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street M Sheet Name city I r� Unit 1 I(y <br /> Ur 1. 550 Commerce Court Manteca o ' (3v <br /> 2. 3258 Lance Drive Stockton N1ANIN ' unit2 J <br /> 3- 2735 North Teepee Drive Mh' <br /> 4• I) lmr unit 3 <br /> S �II <br /> Rm <br /> 6. u a4 <br /> 7. <br /> 8. <br /> Unit 6 <br /> 8. <br /> 1 D. <br /> welt e <br /> Specific Data Range of Information Roquoetodl From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Ej UNDERGROUND TANK(UST)CLEANUP gITE(LOP) ❑HOUSING ABATEMENT x❑SOLID WASTE FACIL"IVEHICLE 1 <br /> 0 OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY 0 WASTE TIRE f1j,05 lvr <br /> O UNDERGROUND TANK(MONUORINGIREMOVAL) . ❑DOG KENNEL 0DAIRY ra10-Z5d3 <br /> x❑HA7ARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> x❑TIEREDPERMITTED FACILITY =' ❑MOTELIHOTEL ❑PUMPER TRUCKrYARDICHEMICAL TOILETS <br /> ❑TATTOOMODY PIERCING ❑POOLISPA [fl LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Cl COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABl.2 FOR Review: MONDAY-FRIDAY S:OO AMS:ODPM(EXCLUD1No 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(ea). At least one file type MUST be aefeoted. Fax to(2091464-0136 or mall to the oddreas Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addressee,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 flies exist. An appointment for review will be confirmed approximately tan (10) <br /> days after receipt of applicatlon. The Dies will be held for a maximum of five business days for ravlew. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is acilvely being worked on by HHD staff may not be Immediately available for review. A now application may be <br /> submitted when the file la available. <br /> A. Any Nle not returned In the same condition as released will be reorganized by EHD staff at the expense of the applloant <br /> Future file reviews by the same applicant may require a 8126 deposit prior to review. <br /> D- 3 ' f0 <br /> 5 M <br /> /' 3 ti � Gr•' 't"' <br /> t:Ks48-oe 5iobd to/o/10 ennt <br /> Received Time Oct. 22. 2013 2:20PM No- 4342 <br />