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r Nov, 19. 2009 11 :42AM anted Geo Environmental No 5999 P. 1 <br /> DATE RECEIVED EHD LOG NUMBER <br /> \�I IJ U «© SAN JOAQUIN COUN, Rom <br /> L EN1/IRONMENTAL HEALTH DEPART � !" <br /> ��4 <br /> 600 East Main St. Stockton, CA 95202-3029 vJ' <br /> t�09Telephone: (209)488-3420 Fax: (209)464-0738 Web: wwwsjgov.Drg e <br /> u1n4 Ai i H�C�LTH PUBLIC RECORDS RELEASE APPLICATION <br /> EPd�14fG�1 E, f Fc <br /> fir' 1' ar: ALYS COLAVITA BUSINESSIAGENCY:ADVANCED GEOENVIRONMENTAL, INC. <br /> ADDRESS: 837 SHAW ROAD CITY/STATE/ZIP:STOCKTON, CA 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209-483-3401 FACSIMILE: 209-467-1110 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from data of appllcatkm submittal-'7entaaYe only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUE$]'_$115 FEg CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE119/0y <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Straetli Street Name city unit <br /> 11 4625 NORTH WEST LANE STOCKTON <br /> 2• 4673 NORTH WEST LANE STOCKTON Jpco <br /> 3• 1155 E BIANCHI RD STOCKTON7 <br /> 4. 4747 NORTH WEST LANE STOCKTON 1 QHS nit3 rf <br /> 6. <br /> 30- ntt4 <br /> T' <br /> 8. r <br /> 9. �k �.ry ❑unit s <br /> 10. <br /> unit e <br /> Pr Specific Data Range of Information Requested: From ALL t0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES '` �J V ✓� <br /> 1001THIER <br /> NOERGROUND TANK(UST)CLEANUP SITE(LOP) OUSING ABATEMENT OLID WASTE FACILITYNEHICLE CLEANUP SITE(NON•LOP) o00 FACILITY ASTE TIRENDEROROUND TANK(MONITORINGIREMOvAL) ❑DOG KENNEL AIRYAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ASTEWATER TREATMEM PLANT <br /> IERED PERMITTED FACILITY ❑MOTELIHOTEL PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATYOOISOOY PIERCING ❑POOL/SPA D USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 5:00 AM-S:OOPM(EXCLUDING HOLIDAYS) <br /> 1, List uo to ten addresses In the apace 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 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 W 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 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 Game applicant may require a$116 deposit prior to review. <br /> S. If you need further assistance,please contact Diane Martinez,at(209)468.3426. <br /> END U9E ONLY <br /> Z <br /> W, I <br /> EHo 4e.oe <br /> erznae <br />