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ti 01/2012015 11:03 <br /> � (PAX) P.0011001 RIIIIIIIIIIIIIIII <br /> ■ �® <br /> ■n DATE RECE1 <br /> ■ SAN aIOAQUIN COUNTY EHD LOG NUMBER <br /> ����OOOO Lp�S ENVIRONMENTAL HEALTH DEPARTMENT1,0 1868 East <br /> o232 <br /> R one: (209)468-3420 FaxHazel!( 209) 464-0138 Web:on Avenue, Stockton, ww. sjgov.org /ehd I r/ <br /> � 'te, <br /> �� <br /> �,e9�aP PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironrnental <br /> ADDRESS: 837 Shaw Road CITYISTATE/ZIP: Stockton/CA/95215 <br /> PHONE (1): 209-467-1006 PHONE (2):209-623-7200FACSIMILE: 209-467-1118 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (PI-ANN allow 10 business days from date of appll sllon submittal-"Tenfedve only-mist be conflrmsd) <br /> ❑ CHECK BOX TO EXPEDITER E T-$125 FEE( C CK L -REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1/20/2015 <br /> Electronic informatlon: ❑Llst❑Map—Daacrlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Stroet>z Street Name sty Unit 1 <br /> © t 3808 West Lane Stockton iffliv - <br /> r.^l 2. 4040 West Lane Stockton O0M r7rw Aur { ST It <br /> U" 3• 4 Enter rise Street Stockton Ll5 t 1 h5 v GO P <br /> 4, he 4l In`A von co <br /> 5 Unit 3 <br /> 6. rNe%IIt4�+ i�,¢lle�. ,- IJ UnR4 <br /> 7. <br /> S. — <br /> Unit 5 <br /> 9. <br /> 10. <br /> [lnit 6 <br /> 3pecltic Dafe Range of Inferrraflon Requested: FromSII to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> DUNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING A13ATFMENT El SOLID WASTE FACILTTYIVEHICLE <br /> QOTHER CLEANUPS ITE(NON+LOP) ❑FOOD FACILITY Z WASTE TIRE <br /> ❑>< UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL 0 DAIRY <br /> ❑x <br /> HAZARDDUSWASTE GENERATOR ❑CHICKENRANCH ❑WASTEWATERTRFATwigPLANT <br /> EI TIERED PERMnTED FACILITY ❑MOTEUHOTEL ❑PUMPERTRUCKIYARWCHEMCALTOILET$ <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA Q LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTEFACILrry x❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIM <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEWS MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1, fist up to ten addresses in the space above. Select the type($)of files from the list above by checking the appropriate <br /> box(ea). At least one file type MUST be selected. Fax to(209)464-0135 or mail to the address indicated above Address <br /> ranges will not be accepted-for additional assistance with file addresses, contact the EHD. Applications recelved after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files exlst An appointment for review will be conflnned 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 he <br /> submitted when the file is available. <br /> 4. Any Ne 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 /> EHD LISE ONLY <br /> I rovlk& LID wl{t f15 Eilt Lo• 176 Fn rise 4A u4A + A • ikk poi LtOL D L-^-FL,,. <br /> C ',lordIt1 + F C ( rka VM La„ <br /> tvmP CO Glil i ,n Lkkj File * 'B. G.af I-(atAj Lo..t4-t LILAQ <br /> Eea4 -0 <br /> 011111 <br /> Received Time Jan, 20, 2015 10: 54AM No, 7929 <br />