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n � 1 10:01 AM Advanced Geo Envlronmen(dl No. 6314EHD P'---NUMBER <br /> 1fw11 y SAN JOAQUIN COUNTY ...: <br /> 2 1 2010 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> ENVIRONMENT HEALTRelephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sigov.org/ d <br /> PERMIT/SERMES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally Colavita BUSINESSIAGENCY: Advanted GeoEnvSronmental, no, <br /> ADDRESS: 937 Shaw Road CITYISTATEIZIP: Stockton <br /> PHONE (1): 209-467-1006 PHONE(2): 209-483-3401 FACSIMILE: 209-467-1119 <br /> TENTATIVE'APPOINTMENT DATE: ASAP Time: <br /> (Please allow to business days from date of application submittal-'Tentaa'vo only-must be confirmed) <br /> ❑ CHECK SOX TO EXPEDITE REQUEST-$11 FE H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1/21/10 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> Street f Street Name City ❑,/Unit s <br /> 1. luso SOUTH DIAMOND STREET Stockton OE S, <br /> 2. 2018 EAST ANDERSON STREET Stockton AM U) tl10111. <br /> - <br /> a� _ 3. 2055 BAST ANDERSON STREET Stockton NO JOS /Ug `ry),! <br /> eUl{� 4. 2141 EAST ANDERSON STREET Stockton <br /> nit3 ' ` <br /> El unit 5 <br /> T. <br /> 8. <br /> 8. <br /> 10. WA/)nit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES `I <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) El HOUSING ABATEMENT �-y St.O'LID WASTE FACILRYNEHICIE <br /> ['1'� 1 r I-C✓ <br /> OTHER CLEANUP SITE(NON•LOP) [—]FOOD FACILITY L�nASTE TIRE y <br /> ANDERGROUNO TANK(MONITORINGIREMOVAL) pt. El Doe KENNEL ❑DAIRY ( 13 - <br /> FeHAZARDOUSWASTE GENERATOR OL ❑CHICKEN RANCH ❑WASTEWATERTREATMENTPLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHENICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List uo 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(2091464.0138 or mail to the address indicated above. Address <br /> ranges will not be 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$116 deposit prior to review. <br /> S. If you need further assistance,please contact Diane Martinez,at(209)488.3426. <br /> DID U8E ONLY <br /> D I LIO Iu 2 ! Zl9 CO 13 <br /> 4 4 6i ,- 150 ` <br /> EHD 4846 8/77108 <br />