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Jan 24. 2008 4:53PMAnced Geo F%1vi ronmental No. 0926 P. 2/2 <br /> DATE R CEIVED IN* EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> bl u < - �'' L`- ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 V <br /> 5 ^r,n Telephone; (209)468.3420 Fax; (209)464-0138 Web:www.sjgo .or <br /> PUBLIC RECORDS RELEASE APPLICATIO <br /> P( _., <br /> APPLICANT: Ally Colayitd BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road Stockton CA <br /> PHONE(1): 209 467-1006 PHONE(2): 209 483-3401 FACSIMILE: 209 467-1118 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application Submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUU T,-$98 0 F CASH CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT C/L/U _Z4t DATE <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street# Street Name city ,.l fr ❑ UN!1 <br /> 1. o evsh"n N Roc IUlr+ti __41 0 �n <br /> 2. <br /> yEl Unit 2L) <br /> �✓ 3, <br /> 4. Unit3 <br /> s. <br /> 7. <br /> Ip� CAK <br /> 8. ILILtA <br /> _.-....-.-� <br /> ❑ Unit5 <br /> Ob <br /> 9. � /a �--� <br /> A`U -..... . -_.__-..__ O Unit 8 <br /> 10. <br /> Specific Data Range of information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) O HOUSING ABATEMENTOLID WASTE FACILITYNEHICLE Ii�pY� <br /> �THER CLEANUP SITE(NON-LOP) 0FOOD FACILITY ASTE TIRE <br /> NDERGROUND TANK(MONITORINGIREMOVAL)✓ 0 DOG KENNEL PDA, a <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 13 MOTELIHOTEL 0 PUMPER TRUCK/YARDICHEM TOILETS <br /> U TATTOOIBODY PIERCING 0POOLISPA O LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY8:00AM-6:00PM - EXCLUDING HOLIDAYS <br /> 1. List up to ten addresses In the apace above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464.0138 or mail to the address Indicated above Address <br /> ranges will not be accepted—for additional 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 ten(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 staff may not be immediately available for revlew. A new application may be <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition Be released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> END 48-06 WEB WWIW7 <br />