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06120/2013 10:14 9:AX) P.001/001 <br /> ■ EHD LOG NUMBER <br /> DATE RECEIVEDa .+ mj SAN JOAQUIN COUNTY <br /> h ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 n <br /> G 2J1, 4 , <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> I tic Y [ <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnylronmental <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 10 business days from data of appilcatlon submittal-`tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQU ST-$128 F OR C C LY)•REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICAN DATE (y • 90 - k3 <br /> Electronic Information: ❑ List❑ Map—Des I ion: <br /> FILE ADDRESS EHD USE ONLY <br /> Street* Street Name city ALo c4z,�(2 —. 'Unit 1 <br /> 1- 331 East Weber Avenue Stockton po D No CL 15/' <br /> 2• 330 East Weber Avenue Stockton Unit 2 <br /> IU 3. 321 East Weber Avenue Stockton <br /> 4. 304 East Weber Avenue Stockton u If s A <br /> 6 _ 302 West Weber Avenue Stockton a 1vJ Nr}Talo lctUu / c� <br /> 6 ` 220 North San Joaquin Street Stockton sr ,D-UnIt4 <br /> 7. <br /> 8• ❑Unit 6 <br /> 9. <br /> 10. ,p unit B <br /> Specific Date Range of Information Requested: Fran all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑x UNDERGROUND TANK(LIST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT [.%�SOLID WASTE FACILITY/ft LE/,N <br /> ❑X OTHER CLEANUP SITE(NON-LOP) El FOOD FACILITY ❑x WASTETIRE <br /> X❑UNDERGROUND TANK(MONRORINOIREMOVAL) L]DOG KENNEL ❑x DAIRYi ?-�j'1 <br /> x❑HAZARDOUS WASTE GENERATCR F-1CHICKENRANCH C1 WASTEWATER TREAT&NT PLANT <br /> O TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPERTRUCKIYARD/CHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA Q LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑x COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 5:00 AM-6:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above, Selectthe 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)464.0130 or mail to the address indicated above. Address <br /> ranges will not be accepted -for additional assistance with file addresses,contact the EHD. Appllcatlons 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 49 scheduled accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately available for review. A now appllcatlon 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 9 of the app icant.#t0'�LII�ty1� <br /> Future file reviews by the same applicant may require a$126 deposit prior to review. 0 7l' y t,1r?ZU 7 <br /> 15- X00. XS S - <br /> a, uo f4A , i. `VI z J <br /> n ! / 3,0 <br /> HseeAe ;!Jv".d' " G c�}i of !.{)/Yfp(rEu'1'{ �- CU(�II�3O�J�'�irJ✓) %�5/fJ (�) {�✓ .ZZu`X-j'L��GGr). ��jna Received Time Jun. 20. 2013 10: 10AM No, 3431 <br />