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01/1,4/2014 09:07 <br />pIETbREE <br />rq <br />FED SAN .IOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />JAN 4 2014 Hazelton1888 East <br />Telephone: (209) 466 3420 Fax: (209) 464 0138 WebC ww.gjgov orrg/e205-6232 hd <br />ENViFtONMENTAL HEALTF) <br />PERMI?ISERVlCES <br />PUBLIC RECORDS RELEASE APPLICATION <br />YL <br />"r - <br />EHD LOG NUMBER <br />As <br />APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnylronmental <br />ADDRESS: 637 Shaw Road CITY/STATE/ZIP: Stockton / CA / 95215 <br />PHONE (1): 209-467-1006_ PHONE (2): 209-(523-7200 FACSIMILE: 209-467-1116 <br />TENTATIVE' APPOINTMENT DATE: ASAPTime: <br />(Please allow 10 business days from date of application submlttal -'Tentative only. must be w:dirmed) <br />❑ CHECK BOX TO EXPEDITE RE UEST - $125 FEE{fvSH Of i C C ONLY) - REQUEST PROCESSED IN 3 BUSINESS 'DAYS <br />Crf7NATIIRE OF APPLICANT aba) I.A• 1'�L�� DATE lII 1L4 <br />Electronic information: <br />❑ List ❑ Map - Description: <br />ENVIRONMENTAL HEALTH DEPP <br />x❑ UNDERGROUND TANK (UST)CLEANUP SITE(LOP) <br />❑ HOUSING ABATEMENT <br />x❑OTHERCLEANUPSITE (NON"LOP) <br />r-1 FOOD FACILITY <br />UNDERGROUND TANK (MONITORINGIREMOVAL) <br />❑ DOG KENNEL <br />❑x HAZARDOUS WASTE GENERATOR <br />❑ CHICKEN RANCH <br />TIERED PERMTTED FACILITY <br />❑ MOTELJHOTEL <br />❑ TATTOO(BOOY PIERCING <br />❑ PWUSPA <br />F1 MEDICALWASTEFACILITY <br />❑x COMPLAINT RECORDS <br />FILE ADDRESS <br />EHD USE ONL <br />Street # <br />Strom Name <br />city <br />Ff Unit <br />1. <br />2431 <br />Mari <br />osa Road <br />Stockton <br />2• <br />2467 <br />Mariposa <br />Road 0 F <br />Stockton <br />Unita <br />9. <br />2501 <br />S. Route 99 W, Frontage RdOfttockton <br />14� UK11 3 <br />Pxpc ' ' <br />4. <br />2459 <br />Mari <br />'osa Road <br />Stockton <br />S c D MM <br />r`Yo"S <br />E" UnI0 <br />5. <br />2373 <br />Mariposa <br />Road <br />Stockton <br />j <br />as <br />B. <br />2701 <br />South Highway 99 <br />Stockton <br />laa to <br />cos <br />p Unica <br />7- <br />2327 <br />Mariposa <br />Road <br />Stockton <br />!M <br />CAS( <br />B. <br />2447 <br />Marliposa <br />Road t34= <br />Stockton <br />,x co <br />Unite <br />9. <br />10. <br />Unit 8 <br />Speelflc Date Range of Information Requested: From <br />all <br />ENVIRONMENTAL HEALTH DEPP <br />x❑ UNDERGROUND TANK (UST)CLEANUP SITE(LOP) <br />❑ HOUSING ABATEMENT <br />x❑OTHERCLEANUPSITE (NON"LOP) <br />r-1 FOOD FACILITY <br />UNDERGROUND TANK (MONITORINGIREMOVAL) <br />❑ DOG KENNEL <br />❑x HAZARDOUS WASTE GENERATOR <br />❑ CHICKEN RANCH <br />TIERED PERMTTED FACILITY <br />❑ MOTELJHOTEL <br />❑ TATTOO(BOOY PIERCING <br />❑ PWUSPA <br />F1 MEDICALWASTEFACILITY <br />❑x COMPLAINT RECORDS <br />LC <br />yy <br />SOLID WASTEFACIUFYNEHICLE <br />)yV,let, <br />WASTETIRE <br />DAIRY <br />PLANT <br />WASTEWATER TREATMENT <br />I.3flA <br />PUMPER TRUWYARDICHEMICALTOILETS �!N' <br />LAND USE APPLICATION SITES <br />OTHER (PLEASE SPECIFY) <br />WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY•FRIDAYS:OOAM-S:OOPM(EXCLUDINGHOLIDAYS) <br />1. List up to ten addresses In the space above. Select the type(s) of files from the list above by checking the appropriate <br />box(ea). At least one Ne type MUST be selected. Fax to (209) 484-0138 or mall to the addm e; Indicated above. Address <br />ranges will not be accepted -for additional assistance with file addresses, contact the EHD. Applications received enter <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 buslness 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 evallabie 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 $125 deposit prior to review. <br />EHD4 00CK ?�� ?y jqQ- CRPt Slob) For- .23a7 Ntcr."rfnsq. Ca-COfcl-87 <br />L=r%eo'.� 7a3L (Wt-s'lac)cr)edm ItaJFifeErr- mr'� r- ad— <br />rQ <br />