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'f 0312012013 15:02 Advanced GeoEnviromental Inc. (TAX)2094671118 P.0011001 <br /> • 0 EHD LOG NUMBER <br /> �A"didvrD%t� SAN ,JOAQUIN COUNTY <br /> r `.z t J �j <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAR 2 Q 2013 1868 East Hazelton Avenue, Stockton, CA 95206-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: vAvw,sjgov.org/ehd <br /> ENVil,10NM ENTA:L-PIE80--fi-i <br /> 7ERhf!i"/6EFitI?CES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/Zip: Stockton 1 CAI 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE`APPOINTMENT DATE: ASAP Time: <br /> (Planes allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITEE T-S115FE RC E NLY)-REQUEST PROCESSED IN3D SINES DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ LISt❑ Map—Des Ipti n: <br /> FHID USE ONLY <br /> FILE ADDRESS <br /> Street Street Name City ,I�Unit1 <br /> 1. 21092 South Pillsbuy Road Manteca NI <br /> 2. 3697 East Louise Avenue Manteca umtz <br /> fl 3. 2901 East Louise Avenue Manteca 1 <br /> VVr' -4. 2901 South Airport Way Manteca N unua <br /> 5. <br /> units <br /> 6. i <br /> 7. <br /> $ Unit 6 <br /> 9. ! <br /> "Unit 8 <br /> 10. � <br /> Specific Date Range of information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES x SOLID WASTE FACIUTYIVEHICLE <br /> Q UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑ / �- <br /> 0 OTHER CLEANUP SITE(NON•LOP) F1 FOOD FACILITY 0 WASTE TIRE 6 r{�$ /YI' <br /> x DAIRY fv(3 - ��'��-1} <br /> X❑UNDERGROUND TANK(MONITORINOIREMOVAL)L. ❑CHI KENNEL ❑WASTEWATER TREAYMENT�LANT <br /> x❑HAZARDOUS WASTE GENERATOR �' ❑CHICKEN RANCH ❑ <br /> 0 TIERED PERMITTED FACILITY ❑MOTELIHOTEL El PUMPER TRUCKIYARDICHEMICAL TORETS <br /> x LAND USE APPLICATION SITES <br /> ❑ MEDICAL <br /> PIERCING X❑COMPLAPOOLISMTRECORDS ❑OTHER(PLEASE SPECIFY) <br /> ❑ MEDICAL WASTE FACILITY ❑ G <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONOAY•FRIDAY 8:0D Am-5:DOPM(EXCLUDING HOLIDAYS) <br /> 11 lop <br /> o tan addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> At least one Tile type MUST be selected. asa Indicated above. Address <br /> ill not be accepted-for addltlonal assist . AppllcaYlOns received after <br /> confirmed approximately will ba processed the next business day.2 ertrelc Ipl of applcatlont IThe fll¢s w11i ba f fle bus n esdays for evew. Appntmentn(10) <br /> be scheduled accordln®ly.3. at Ie actively being worked on by EHD¢teff may not be Immedtetely av¢ eeeview. A new¢ppllcetlon may ba <br /> ed when the file Is available. <br /> 4 Futills reviews by the me appli <br /> Anyle cant may relquire a$126 depoalt prior to review.staff at the expense of the applicant. <br /> Fu <br /> EHO USE ONLY <br /> q 7 : t onI �0 1 1 3 q 0 1 (9u.i <br /> Y 21 P D� <br /> Received Time Mar. 20. 2013 2:58PM No. 2606 <br />