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04/27f2015 10:55low . P.0011001 <br /> �e <br /> ie <br /> e I VIEEHD LOG NUMBER <br /> SAN .JOAQUIN COUNTY �� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> APR 2 7 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (208) 468-3420 Fax: (209)464-0138 Web: www.sjgov.orglehd <br /> ENVIRONMENTAL HEA1.TH <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnyironmental <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; Time: <br /> (Please allow 10 business days from date of application submittal-'Tentetiva only-must be coMTrmed) <br /> ❑CHECK BOX TO EXPEDITE RE ST-$125 FEE( CHEC QUEST PROCESSED IN 3 BUS NESS DAY/Sc <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List[] Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Stroat Namo City ij Unit 1 <br /> 1• 844 Dave Brubeck Way Stockton <br /> 2• 844 West Stadium Drive Stockton ElUnit <br /> 3. 850 West Stadium Drive Stockton <br /> 4• 838 West Stadium Drive Stockton 171 Unit <br /> 6• 1081 Mendocino Avenue StocktoniT <br /> 6• Unit4 <br /> '• 'Address line 5: Only requesting to review No"aa I Pke, <br /> e UST and LOP/ LUST files*** 0 Units <br /> 10. O Unita <br /> Specific Date Range of Information Requested; From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT PILES <br /> F1 U NDERGROUND TANK[UST)CLEANUP SITE(LO P) ❑HOUSING ABATEMENT Q SOUD WASTE FACILNYNEHICLE <br /> Q OTHER C LEANUP SITE(NON-LOP) ❑FOOD FACILITY [DWASTETIRE <br /> Q UNDERGROUNOTANK(MONITORINWREMOVAL) ❑DOG KENNEL O DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WAST2NATERTREATMENr PLANT <br /> x❑TIERED PERMITTED FACILITY ❑MOTEIJHOTEL ❑PUMPERTRUCKIYARIYCHEMICALTOILETS <br /> ❑TATT001800Y PIERCING ❑POOUSPAx❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITYx❑COMPWNTRECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW. MONDAY-FRIDAY 8:00 AWS:OOPM(EXCLUDING HOLIDAYS) <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(es). At least one file type MUST be selected. Fax to(2081464-0138 or mall to the address indicated above Address <br /> renges will not be accepted•for additional eselatance 11th file addresses,contact the EHD. Appllcations 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 flies 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 /> aubmltted when the file Ie 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$126 deposit prior to review. <br /> EHD USE ONLY <br /> Reeelved Time—Apr. 27. 7015-10: 51AVI—No. 8590 """ <br />