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Ir 0612012013 10:14 (FAX) F.0011001 <br /> tr DA7E RECEIVED r sT; 0 EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> •' `' "" ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUN N 01 013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESSIAGENcY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton / CA/ 95215 <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 application Submittal-'Yentafive only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$126 FIX OR C C LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICAN DATE CO • PO - JS <br /> Electronic Information: ❑ List❑ Map—DesIjAo& <br /> FILE ADDRESS EHD USE ONLY t3 <br /> Street Street Name city U 'UnitI <br /> 1• 331 East Weber Avenue Stockton P��- r <br /> 2. 330 East Weber Avenue Stockton >Jc c' unit2 <br /> 3. 321 East Weber Avenue Stockton M III foe4. 304 East Weber Avenue Stockton <br /> 5 302 West Weber Avenue Stockton units6.— 220 North San Joa uin S res Sock on .E[-unit4 6 <br /> 7. <br /> 8. <br /> []Unit 6 <br /> 9, <br /> 10, <br /> .-O'una e <br /> Specific Data Range of Informatlon Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑x SOLID WASTE FACILITYNEH LE/,W/.,, <br /> ❑X OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑x WASTE TIRE J(���/' � 1 13' <br /> ❑X UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑X DAIRY tn,(L <br /> X❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATAOENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA []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 6:00 AM-6:'WPM(EXCLUDING HOLIDAYS) <br /> 1. List u0 to ten addresses in the space above. Select the type(u)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0136 or mall 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 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 aotively being worked on by EHD staff may not be Immediately available for review. A new appllcatlon may be <br /> submitted when the file is available. <br /> 4, Any Hie not returned In the same condition as releaeed will be reorganized by EHD staff at the expense of the app1isapt:Ae1D,��ll,�U1�) <br /> Future fila reviews by the same applicant may require a$126 deposit prior to review. c 7CQ Z toy GZ , 7 <br /> 7-5-175' <br /> {{ <br /> ' Q. LOA, 'l 'I <4�1• Z <br /> 3E <br /> h. r 1 <br /> HD4eoe ?✓s. a i of /Fl�IrWI'} c�y(�III�}u nvt5p✓) sPt5/U(>) EU✓ ZZt rI 'GUiI. (L,jvII <br /> Received Time Jun. 20. 2013 10: 10AM No. 3437 <br />