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ov. 5vanced Geo Environmental <br /> OATEN..._..�,, .�„ 2001 3:43PM AdNo. O 2 21 HD LP'_.jJMBER <br /> SAN JOAQUIN COUNTY 0 <br /> W LS��� V �D� ENVIRONMENTAL HEALTH DEPARTMENT <br /> Il11 Lr�`�L� 600 East Main Street, 464.013 We 95202 <br /> Nov 0 5 2007 Telephone: (209)468-3420 Fax: (209)464.0138 Web: www- oY.O ehl <br /> ENla """A dT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> w•rnwwa <br /> AatuCFRlliCF <br /> nv� rlana-carranza BUBINESSIAGENCYt Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Rd., Stockton, CA <br /> PHONE(1). 209-467-1006 PHONE(2): 209-609-4067 <br /> FACSIMILE: 209-467-1118 <br /> TENTATIVE"APPOINTMENT DATE: ASAP Time: anytime <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ,.HECK BOX To EXPEDITE REQUEST-$05.00 FEE(CASH OR CHECK.ONLY),REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: [] List❑ Map-Description: <br /> �K Street III - ---- FILE ADDRESS _ EHD USE ONLY <br /> Street Name City <br /> #�_' <br /> Unit1 <br /> 702 South Aurora street Stockton {�0 ab <br /> � ast Magnolia Street Stockton UST 03 ; Oes �I <br /> h Stanialaue Street Stockton o0 orth California Street StocktonUST l07Z) Unitalifonia Street Stockton <br /> r"r c`'V-'k_- Stockton unit4 <br /> g, - - ❑ Unit 5 <br /> g , <br /> 10. -- ------ t-- - Unit S <br /> t, <br /> Specific Date Range of Information Requested: From to <br /> ,.r ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 11NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT fl SOLID WASTE FACILITYIVEHICLE <br /> .,�)'"THER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> �-�" DERGROUNO TANK(MONITORING/REMOVAL) ❑Do0 KENNEL ❑ DAIRY <br /> AtARDOUs WASTE GENERATOR 0CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY M MOTEIIHOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> O TATTOO/BODY PIERCING ❑POOLISPA 11 LAND USE APPLICATION SITES <br /> 0 MEOICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 9:00 AM5:OOPM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of riles 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(ndicated above Address <br /> ranges will not he 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 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 review. A new 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$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> END qe-06 5n620o7 <br />