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i0 0312012015 11:36 i P.001/001 <br /> ■ <br /> I�■ __;'a �,'u 9 EL EHD.LOG NUMBER <br /> Itr <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> MAR 2 0 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 952055232 • <br /> i_NVIHONMENTALIe'KAone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.or9Iehd <br /> PEHPAITISE9VIC <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: R2hg C Natal BUSINESSIAGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATE/zIP: Stockton / CA 195215 <br /> PHONE (1): 209-467-1006 PHONE(2): 209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of applicatlo ubmittal rtadv only-must be confirmed) <br /> ❑CHECK BOX TO D( ED U T- 125 FEE( CK ON -REQU PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICA DATE <br /> Electronlc informatlon: ❑List❑Map-Doscrlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Streetd Street Name City i Unit1 <br /> 1. <br /> 2. a/rt= Unit2 7, <br /> 3. 4837— South Airport Way Stockton <br /> 7 <br /> 4. (I` V�11\t-0 L]Unitx� <br /> S. uth Aitport WaV - Stockton <br /> B UnR4 <br /> 7. -77:= `AA 11 �11 '7 py <br /> rW�'A I F e Unit6 <br /> B" ***Address lines 4 - 7: Only requesting to LD a�a I L �gyridaS A <br /> 09. review UST and LOP/ LUST files'`` y� _ I Unfttl <br /> 10. <br /> Specific Date Rangs of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> El UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT O SOLID WASTE FACILRYNEHICLE <br /> (]OTHERCLEANUPSITE(NON-LOP) ❑FOOD FACILITY IEWASTETIRE <br /> �]x UNDERGROUND TANK(MONfrORINGIRFMOVAL) [:1 DOG KENNEL ❑x DAIRY <br /> Q HAZARDOUS WASTE GENERATOR F1 CHICKEN RANCH ❑WAMVATERTREATNENf PLANT <br /> 171 TIERED psmrrED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TaEMCA DY ASTEPIERCING POOUSPA LAND USE APPLICATION O COMPLAINT RECORDS ❑OTHER(PLEAS SPECIFY)REs <br /> ❑ METNCALWASTEFACILIiY ❑ <br /> WELLANDSEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW. MONDAY-FRIDAY8:00AWS:OOPM(EXCLUDINGHOUDAYS) <br /> 1. Ust up to ten addresses In the space above. Select the type(s)of files from the I1st above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax r mall to the add ve. Address <br /> ranges will not be accepted•for additional asslsffince with file addresses,contact the EHD. Appilcatlotis 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(10) <br /> days after receipt of application. The files will be held for a maximum of five buolneee 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 now application may be <br /> submitted when the file la available. <br /> 4. Any fife 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$126 deposit prior to review. <br /> 1`7v J.e IASI Awjis t {E, ant by L f' <br /> N'`ke. aAE al v,nc,vti, k _6q4 r I CA t-111_ <br /> enm <br /> eno as oe <br /> RPCP. ivO Time M; r 90. 9015 111AM Nn. fl`l74 <br />