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TAS() P.0011001 <br /> s 0612012013 10:14 <br /> ■ <br /> ■■ <br /> EHD LOG NUMBER <br /> ■ <br /> ■ DATEREC <br /> ■ IslV,,EDtq.„ .a SAN JOAQUIN COUNTY <br /> s.�..� •Y ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUS 2�1 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)46B-3420 Fax: (209) 4640138 Web: www.sjgov.org/ehd <br /> Ai sri <br /> 6Lf/''.I.. <br /> t�Ftzr; PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnviron mental <br /> ADDRESS: 837 Shaw Road CITY/STATEIZIP: 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 t0 business days from data of appllcatlon submittal-•7entattva only•must be confirmed) <br /> ❑CHECK BOX TO O(PEDITE REQU ST-$128F ORO C LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICAN DATE L9 . <br /> Electronic Information: OlListElMap—Des*1000n: <br /> FILE ADDRESS EHD USE ONLY i <br /> �n <br /> street# Street Name city /LkvCo Unit1 <br /> 1. 331 East Weber Avenue Stockton �0 D No cc lsf <br /> 2. 330 East Weber Ave nue Stockton n)Dces Unit2 <br /> 3. 321 East Weber Avenue Stockton I lsT MAP °S, <br /> 4. 304 East Weber Avenue Stockton <br /> 6. 302 West Weber Avenue Stockton u at 1 Hn'nl6' Unl 6 / <br /> 6-- 220 North San Joa uin Street Stockton <br /> �tnita <br /> 7. <br /> S ❑Unit 6 <br /> 9. <br /> 10 l7u Its <br /> Spaclfle Data Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ASATFMENT Qx SOLID WASTE FACILITYNEH L,E,, <br /> X❑OTHER CLEANUP SITE(NON•LOP) ❑FOOD FACILITY ❑x WASTETIREI(,�/ <br /> X1 UNDERGROUND TANK(MONITORINOIREMOVAL) ❑DOG KENNEL IK DAIRY Avl�a <br /> /� <br /> x❑HAZARDOUS WASTE GENERATOR r-1 CHICKEN RANCH C]WASTEWATER TREAT T PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPERTRUCKIYARD/CHEMICALTOILETS <br /> ❑TATTODIBODY PIERCINe ❑POOLISPA Q 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 8:00 AM-6:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List Lo to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file typo MUST be selected. Fax to(209)464. or mall to the address indicated above. Address <br /> ranges will not be accepted -for additional assistance with Nle addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2 be confirmed <br /> days aftThe SHO erreceipt f appill notify the lication. The tiles wplicant If any FHD ill be held for a les exist, An maximum of five businesointment for review s days for review.approximatelytontf 0) <br /> should be scheduled accordingly. <br /> 3. A ills that Is actively being worked on by EHD staff may not be Immediately available for review. A new application may be n <br /> submitted when the file is available. �IIt700 p�(111�1 <br /> 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the apPp2U <br /> Future file reviews by the same applicant may require a$126 deposit prior to review. 007ft, W <br /> A LO 2 <br /> 3D <br /> r e <br /> Noaeae a ��' K`7fJ®ll(a3a ' v�5',O✓) P�It 5!0(o) p./ T•ZO`x�-Y1,3�GUrl. , ,Ann+ <br /> Received Time Jun. 20. 2013 10: 10AM No. 3437 <br />