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° 06120/2013 10:14 <br />fAX) <br />in <br />DATE REC IVED P %m <br />x l'a SAN JOAQUIN COUNTY <br />t 3r C <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />JUN�p13 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />C-'CYt 6L1 iCfi4V:Ulr �:4L44..1�F'ZI„f i1 <br />I r_c <br />t'EC;`,r'ril rR�-tv. V PUBLIC RECORDS RELEASE APPLICATION <br />P.0011001 <br />EHD LOG NUMBER <br />APPLICANT: Rebecca Natal BUSINESS/AGENcY: Advanced GeoEnylronmental <br />ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton / CA 195215 <br />PHONE (1): 209-467-1006 PHONE (2): 209-623-7200 FACSIMILE: 209-467-1118 <br />TENTATIVE' APPOINTMENT DATE: ASAP Time: <br />(Please allow 10 business days from date of applleatlon submittal -•-tentative only -must be confirmed) <br />❑ CHECK SOX TO EXPEDITE REOU ST- $126 FLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICAN OR C C DATE 9 • g O - I3 <br />Electronic Information: El List ❑Map—Des I on: <br />-� <br />C�E�I X111" , , <br />street* <br />FILE ADDRESS <br />Street Name <br />City <br />EHD USE ONLY. <br />ACo <br />'unit 1 <br />1• <br />331 <br />East Weber Avenue <br />East Weber Avenue <br />Stockton <br />Stockton <br />-�pDp No cc Isp <br />n10cc-4 <br />Unite <br />2• <br />330 <br />3. <br />321 <br />East Weber Avenue <br />East Weber Avenue <br />Stockton <br />Stockton <br />s? �1 RIP <br />u Its <br />4. <br />304 <br />5• <br />302 <br />West Weber Avenue <br />North San Joaquin Street <br />Stockton <br />Stockton <br />u NmfnI? 0Ulil <br />E Unit4 <br />67-220 <br />7. <br />❑ Unit 6 <br />5 <br />9, <br />u it e <br />10. <br />Specific Data Range of information Requested: From all fc <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />X❑ UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT Q SOLID WASTE FqACCILITYNEH 11 3 <br />O OTHER CLEANUP SITE (Nom -LOP) ❑ FOOD FACILITY Q WAST ETIRE - ' l . . Jf/+ i <br />X❑ UNDERGROUND TANK(MONITORINOIREMOVAL) ❑DOG KENNEL ❑x DAIRY 74'I`5 <br />X❑ HAZARDOUS WASTE GENERATOR El CHICKEN RANCH E] WASTEWATER TREATMENT PLANT <br />[]TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEMICALTOILETS <br />❑ TATTOOIBODY PIERCINe ❑POOLISPA ❑x LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY•FRIDAY 5:00 AM-S:OOPM (EXCLUDING HOLIDAYS) <br />1. List up to tan addresses in the space above, Select the type(e) of files from the list above by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax to (209) 494-0130 or mail to the address indicated above. Address <br />ranges will not be accepted -for additlonal assistance 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 flies 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 aotively being worked on by EHD staff may not be Immediately available for review. A new appilcaten may be <br />submitted when the file is available. §1tt,� 'Y410114, Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the apPIic 7`� <br />M.Niva fHe ravrawa by the name abmilcant may require a $126 deposit prior to review. 01, I ” y / W <br />EKD 4e-09 Vrru"h.Aj a 46j�r:f 60n�v6c4vrf+ tv)iDU(030 ;i1uV50YI fpf71V (0) t8✓ ku fw(, ,-3owti,ri). i4t:;' <br />Received Time Jun.20. 2013 10:10AM No.3431 <br />-� <br />C�E�I X111" , , <br />�. .J"► .• ,L , <br />'�., / � ..;Ili <br />> � . , , � _► �>• r� <br />. _ <br />EKD 4e-09 Vrru"h.Aj a 46j�r:f 60n�v6c4vrf+ tv)iDU(030 ;i1uV50YI fpf71V (0) t8✓ ku fw(, ,-3owti,ri). i4t:;' <br />Received Time Jun.20. 2013 10:10AM No.3431 <br />