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0411012015 13:1.5 SAX) r.uu I luu I <br />i■ <br />SAN JoACtUIN COUNTY <br />�/ ��''EVpp EHD LOG NUM R <br />■ ` IMZ V <br />■ ENVIRONMENTAL HEALTH DEPARTMENT \ <br />APR 10 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />ENVIRONMENTAL HEALTH <br />PERMITISERVICES <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: William Little BUSINESS/AGENCY: Advanced GeoEnvimnmental <br />ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton I CA / 95215 <br />PHONE (1): 209467-1006 PHONE (2): 209- FACSIMILE: 209-467-1118 _ <br />30 TENTATIVE' APPOINTMENT DATE: Time: <br />(Plaeso allow 10 business days from data of eppllcatlon eubmkteI-'1'entotive only -must be confirmed) <br />❑ CHECK 130Y TO EXPEDITE REQUEST - S12(y FSE (CASH ONLY) -REQUEST PROCESSED IN 3 SUSINESS DAYS <br />SIGNATURE OF APPLICANT /(? �. X DATE 0 41- 1 i�)_c S` <br />Electronic information: ❑ List ❑ Map — Description: <br />tj t d s,.fkt L,+o G,, SLpo LyaSQ EONLY <br />FILE ADDRESS <br />EHD USE ONLY / <br />1 <br />� trl�k! <br />attest# <br />street Name City <br />1. <br />00 <br />East Louise Ave LathmN'd_l <br />cQ <br />nit 2 <br />2. <br />3. <br />✓rF' <br />Unit3 <br />4. <br />rcywaytit <br />S. <br />Unit <br />6. <br />7. <br />�N� �t7 �We5 C&"wl, <br />v�_CLtLnit6 <br />B. <br />❑; lJnit s <br />10. <br />Spactflc Data Ranile of Informatlon Requested: From all to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />KI UNDERGROUND TANK (UST( CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT D SOLID WASTE FACILrIYNEHICLE <br />KI OTHER CLEANUP SITE (NoN-LOP) ❑ FOOD FACILITY ❑x WASTE TIRE <br />XXI UNDERGROUND TANK (MONITORING/REMOVAL) ❑ DOG KENNEL ❑x DAIRY <br />] HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br />fl TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCK/YARD/CHEMICAL TOILETS <br />I TATTOOIBODY PIERCING ❑ POOL/SPA ❑x LAND USE APPLICATION SITES <br />MEDICAL WASTE FACILITY ❑x COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br />1. List up to ten addresses In the apace above. Select the type(s) of Nies from the list above by checking the appropriate <br />box(ea). At least one file type MUST be selected. Fax to (2091 4$4-0138 or mall to the address Indicated abav-s. Address <br />ranges will not be accepted -for additional aselatance 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 (10) <br />days after receipt of application. The flies will be held for a maximum of five busineas days for review. Appointments <br />should be scheduled accordingly. <br />3. A file that Is actively being worked on by EHD staff may not he 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 $125 deposit prior to review. <br />ravl.te.A C <br />tj t d s,.fkt L,+o G,, SLpo LyaSQ EONLY <br />C Ol W c?co t 777 o,e .n -ate_ �Ite- fj / vO LalAve <br />� trl�k! <br />C vt7J9o7 a..J.CO 2GaH0 are ;^-(lie cnSi Cite Gar ', e Ave: <br />pan aaaa wilt t <br />Received Time Apr. 10, 2015 1:12PM ND. 8510 <br />