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r. 0210712014 10:58 ) P.0011001 <br /> f - EHD LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> � (��e��� ENVIRONMENTAL HEALTH DEPARTMENT <br /> vv 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> `EB 2p1jetephone: (209)468-3420 Fax: (209)464-0138 Web: www.8jgov.org/ehd <br /> ENVIRONMENTALtA AL11-1 <br /> ,�tie�Ie�RVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESSIAGENCY: Advanced GeOEnVlronnlental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton / CA / 96215 <br /> PHONE(1); 209-467-1006 PHONE(2): 209-323-7511 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: ASAPTime: <br /> (Please allow 10 business days from data of appllcedor,SUDMIMI•'Tentative Only-Must be Confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST $125 FEE(CAS HE L -REQUEST PROCESSED IN 3 GUSI VESS PAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Informatlon: ❑ List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Stnet t! Street Name city VUnk1 <br /> 1• 15000 WEST SCHULTE ROAD01:7V TRACY <br /> 2• 14700 SCHULTE ROAD TRACY D� -'u�ks <br /> duh) 0 3• 14700 WEST SCHULTE ROAD TRACY cA T dal .o v s " P <br /> Hw C- / <br /> 4. 15178 SCHULTE ROAD TRACY us C05P ui'' "Unk3 <br /> 5. <br /> g, EUnit <br /> T. <br /> Unk6 <br /> 10. Unit e <br /> Specific Data Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT PILES <br /> E❑UNDERGROUNDTANK(UST)CLEANUP SITE(LOP) ❑HOUSING A9ATEmENT OSOLID WASTE FACIUTYNEHICIE <br /> xjOTHER CLEANUP SITE(NON•LOP) ❑FOOD FACILITY OWASTETIRE L <br /> [7]UNDERGROUND TANK(MON[TordWREMOVAL) F1 DOG,KENNEL ❑x DAIRY <br /> ❑x HAZARDOUS WASTE GENERATOR ❑CHICKENRANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑x TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA O LAND USEAPPLICATION SITES <br /> ❑ MEDICALWASMFACILRY COMPWNTRECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW. MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(ee). At least one file type MUST be selected. �a t !2091464 0138 ar mall to the address Indicated above. Address <br /> ranges will not be accepted-for additional aaalstance with fila 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 exU An appointment for review will be confirmed approximately ten(10) <br /> days after recalpt of application. The flies 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 staff may not be immediately available for review. A now 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 /> 2-IZ- iP CA VI} i f trtb7109.2- <br /> 5-27 <br /> 1 a 5-27 , cj)CL IS HcJ C'-I%z <br /> Wt q <br /> ENa4ea. c�(1to �-'Y�b� '! 0pr /GLC ,yi tlw t)e-v 144 n, <br /> Received Time eb. 2D 14 11:51AM No. 5152 <br />