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0 <br />1110512010 17:22 Advanced G�nviromental Inc. (FAX)209 <br />12094671118 <br />I, eo <br />D SAN JOAQUIN COUNTY <br />NOv 8 JA ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main St. Stockton, CA 85202-3029 <br />MES AL Vie_�le ephone: (209) 468-3420 Fax: (209) 464.0138 Web: www.sigov.org/ehd <br />PMRI PUBLIC RECORDS RELEASE APPLICATION <br />P.001/001 <br />EHD LOG NUMBER <br />51-7(63 <br />APPLICANT: Ally Colavita BUSINESSIAGENCY: Advanced GeoEnvironmental <br />ADDRESS: 837 Shaw Road CITY/STATEIZIP: Stockton, 95215 <br />PHONE (1): 209-467-1006 PHONE (2): 209-483-3401 FACSIMILE: 209-467-1116 <br />TENTATIVE` APPOINTMENT DATE:X45 rP Time; <br />(Please allowlD business days from dab of appllcatlom submittal - •Tentadve only -must be confirmed) <br />CHECK BOX TO ECPFDITE REQUEST. $122 ECK ONLY) -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT (�f�DATE q tTli o <br />Electronic Information: <br />❑ Llat ❑ Map — Description: <br />FILE ADDRESS <br />_ <br />EHD USE ONLY <br />Streets <br />Street Name <br />City <br />1. Z <br />' C <br />sz L O h <br />U S 1 <br />I <br />o <br />a. <br />a' <br />ve <br />N0 <br />Mn <br />E <br />nt34.Z7 <br />aU 'L vt- <br />s. <br />q ll <br />n <br />/ <br />0 t;0/� a <br />l?nit4 <br />7. <br />nne <br />8. <br />8. <br />net a <br />10. <br />Spoclnc Data Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />oW <br />LL UNDERGROUND TANK (UST) CLEANUP SITE (LOP) E HOUSING ABATEMENT RI SOLID WASTE FACILITYIVEHICLE _ I <br />J <br />® OTHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY ❑ WASTE TIRE (IV I ( <br />® UNDERGROUND TANK(MONrrORINGIREMOVAL)K [I DOG KENNEL ©DAIRY 11-10-1,1{i. <br />® HAZARDOUS WASTE GENERATOR []CHICKEN RANCH Ll WASTEWATER TREATMENT PLANT <br />171® TIERED PERMITTED FACILITYMOTELIHOTEL [I PUMPER TRUCKIYARDICHEMICAL TOILETS <br />© TATTOOIBODY PIERCING ❑ POOUSPA El LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RLVILw: MONDAY -FRIDAY 0:00 Am-9:00PM (EXCLUDING HOLIDAYS) <br />1. List up to ten addresses In the apace above. Select the type(e) of file* from the list above by checking the appropriate <br />box(aa). At least one file type MUST be selected. Fax to Q291464-0136 or mall to the address Indicated above. Address <br />ranges will not be accepted -for additional assistance with me addresses, contact the EHD. Applications received atter <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 ataff may not be Immediately available for review. A new application may be <br />aubmltted when the file la available. <br />4. Any file not returned In the same condition as released will be reoroanlxed by EHD staff at the expanse of the applicant. <br />Future file reviews by the same applicant may require a $122 deposit prior to review. <br />GHD use ONLY <br />7 dI!eSILa _ <br />eno teas 07/29110 <br />eno teas 07/29110 <br />