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DATErccvovc�-•• ..• _. -•• SAN JO •, •, •� �r v. vYv7 EHI' • I NUMULR <br /> AQUIN COUNTY <br /> a <br /> EbpwlRONMENTAL HEALTH DEPARTIIaNT <br /> EE�v EIU 600 East Main Street, Stockton, CA 95202-3029 <br /> DEC 0 6 2007 19 ( <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sj Ov <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ��rFRuIMaria Carran2a BUSINESSIAGENCY: Advanced GeoEnvironmeatal <br /> ADDRESS: 837 Shaw Road Stockton, CA <br /> PHONE(1); 209 467-1006 PHONE(2): 209 609-4067 FACSIMILE: 209 467 1118 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 9 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE ,b2-51�7 <br /> Electronic Irlfortnation: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> StnetN Street Name City ❑ Until <br /> 20921 South Austin Road �trS Ot Manteca <br /> W 2. 9909 bast Woodward N nwn ri Cl' Manteca Unit <br /> d� 3• w103q &7�M1 AVIncke ]) 77zRCY nit3 <br /> 4. <br /> 7. w <br /> - - ❑ unit 5 <br /> 8. <br /> 9. untie <br /> 10. <br /> Specific Date Rangrmat ion Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT RLLES <br /> RYUNDERGROUND TANK(UST)CLEANUP SITE(LOP) 11 HOUSING ABATEMENT ,I�SOLID WASTE FAciuTYNEHICLE <br /> gpYHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY O WASTE TIRE <br /> ZA% NDERGROUNO TANK(MONITORING/REMOVAL) QDOG KENNEL DAIRY <br /> �q HAZARDou3 WASTE GENERATOR ❑CHICKEN RANCH 73 WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACIu7Y O MOTELIHOTEL ❑ PUMPER TRUCKNARD/CHEM TOILETS <br /> ❑TATTOO/BODY PIERCING ❑ POOLISPA 13 LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDINO HOLIDAYS. <br /> 1. List tip to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(os), At 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 be confirmed approximately ten(1o) <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 same applicant may require a$98.00 deposit prior to review. <br /> END USE ONLY <br /> EHD"WEB 1620131 <br />