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Sep, 4. 2008 10: 26AM Advanced CeoEnviroiimental No. 3037 P. 1 <br /> DATE RECEIVED �" ' � EHCJ LOG NUMEER <br /> IAC �1l��f�}}���-(��, � SAN .�QAC�UIN COUNTY <br /> 1V'!�1 1 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> SEP E) 4 2008 Telephone: (209)468-3420 Fax: (209)404-0138 Web: www.sjgov.org/ehd <br /> ENVIRUNMINT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> E 'll" Maria carranza Advanced GeoEnvironmental <br /> APPLICANT: BUSINESSIAGENCY, <br /> 837 Shaw Road Stockton, CA 95215 <br /> ADDRESS: Citylstatelzip <br /> PHONE(1): 209 de7-1006 PHONE(2):209 353.6509 FACSIMILE: 209 467-111@ <br /> TENTATIVE*APPOINTMENT DATE: Tlmg: <br /> (Please allow 10 buslnass days from date of application submittal-"Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE RE EST-$10 FE (GASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information: ❑ List© Map-Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> Street# street Name City <br /> 1 333 Carnegie court Manteca ro <br /> 5, <br /> mo 415 <br /> F, Unit 1 <br /> r <br /> 2. 400 industrial Park Drive Manteca � ), L i-rf?OCA 0 Unit 2 <br /> 575 Industrial Par? 5, ve Manteca _LIZ ��� <br /> 1,yy 4. 1164 Heaaemer Roaa Manteca elz_ d u � a U ,rteUnit4 <br /> 6 <br /> 7, <br /> ❑ unit 6 <br /> 6• <br /> Unit 6 <br /> Specific tate Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> t}JNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT kSOLiD WASTE FACILITYNEHICLE <br /> .RO ER CLEANUP SITE(NON-LOP) Q FDOD FACILITY EJ WASTE TIRE f }1 2 <br /> DERGROUND TANK(MONITORINGIREMOVAL)QC 11DOG KENNEL El DAIRY <br /> •ia?tAZARDOU3 WASTE GENERATQR ❑CHICKEN RANCH C1 WASTEWATER TREATMENT PLANT <br /> *TIERED PERMITTED FACILITY ❑MOTELIHOTEL In PUMPER TRUCK/YARDICHEM TOILETs <br /> Cl TATTONSOCY PIERCING ❑POOLISPA 11 LAND USE APPLICATION SITES <br /> ❑MFOICAL WASTF FACILITY 0 OTHER(PLEASE SPEOFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 6:00 AM-5:00pm - ExCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(e)of files from the list above by checking the appropriate <br /> box(as)• At least one file type MUST be selected. Fax to(209)464-0138 or mall to the address Indicated above. Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the E=HD. 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 tan(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 same applicant may require a$105 deposit prior to review, )cc, <br /> EHD USE ONLY <br /> `1 -C�vo� 3 9 -�51 2� C Zit it . <br /> - <br /> rarE14 <br /> r; rte,r- <br /> EHD 48-06 610410u PUBLIC RECORDS RELEASE APP FOR <br />