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IUlLUZU13 14:23 <br /> I ■ ffAX) P.0011001 <br /> Ij p { V�"�� • EHD LOG NUMBER <br /> I� �j U SAN .IOAQUIN COUNTY <br /> �� 2613 ENVIRONMENTAL HEALTH DEPARTMENT Ah <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �� P Svlc§ ww <br /> one: (209) 468-3420 Fax: (209) 464-0138 Web: w .sjgov.org/ehd <br /> MT SgR <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_ Ally Colavita BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATEIZIP: Stockton /CA/95215 <br /> PHONE(1): _ 209-467-1008 PHONE(2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: Lq_AP Time: <br /> (Please allow 10 business days from data of application submittal--Tenrativa only.must be eon rmed) <br /> ❑ CHECK BOX TO EXPEDITE REQU ST-$'125 FEE ASH O HECK ONLY)-REQUEST PROCESSED IN 3 BUS ESS D YS <br /> SIGNATURE OF APPLICANT DATE 10 2 2 7 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street M Street Name city 2 / <br /> n Unitl I() <br /> 6y- 1• 550 Commerce Court Manteca NO tw ' �(0 <br /> -� <br /> 2. <br /> 3258 Lance Drive Stockton M N alta <br /> 3- 2735 North Teepee Drive <br /> 4. F}MM <br /> 171 Unit 3 <br /> 6. /Unit 4 <br /> 1 J <br /> 7. <br /> 8. <br /> Unit 6 <br /> 9. <br /> 1 O. Li Unit e <br /> Specific Data Range of Information Requested: From al to . <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT M SOLID WASTE FACILTP(NEHICLE <br /> x❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY x❑WASTE TIRE 9 fi 1,05 l0/' (tel <br /> El UNDERGROUNDTANK(MONITORINGIREMOVAL) , ❑DOG KENNEL M DAIRY YA t0,?' 13 <br /> ❑x HAZARDOUS WASTE GENERATOR .' ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> x❑TIERED PERMITTED FACILITY ❑MOTEVHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILET$ <br /> ❑TATTOOISODYPIERCINO - ❑POOLISPA O LAND USE APPLICATION SITE$ <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLe FOR Rf3VISW: MONDAY-FRIDAY 5:00 AMS:00PM(EXCLUDING HOLIDAYS) <br /> 1. Llet uD to tan eddressea In the apace above. Select the type(a)of fifes from the Ilet above by checking the appropriate <br /> box(sa), At least one file type MUST be selected. Fax to(2091464-013$or mall to the addresa Ind[gated above Address <br /> ranges will not be accepted-for additional aaaletance with fila add resaae,contract the EHD. Applications rocelvad after <br /> 3:00 pm will be processed the next business day. <br /> 2. The END will notify the applicant If any EHD flies exist. An appointment for ravlew will be confirmed approximately tan (10) <br /> days after receipt of applicatlon. 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 END staff may not be Immediately available for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any filo not returned In the same condition as raleaaad will bs reorganized by EHD staff at the expense of the applicant <br /> Future fila revlawa by the same applicant may require a$126 deposit prior to review. <br /> p_ 3 '. r0 .' e ,eWff IAa <br /> / 3 r Cq-' <br /> -735 } <br /> EHD 4945 51� b 1i o annt <br /> / /r01(L) . <br /> Received Time Oct. 22. 2013 2: 20PM ND. 4342 <br />