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03/1612011 08:39 Advanced GeoEnviromental Inc. (rAYV09 4671118 P.0011001 <br /> H IA�t(�6LIUbHDd • EHD LOG NUMBER <br /> R"l�lr`ia1NNOHIAN.9 SAN JOAQUIN COUNTY y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> IIOZ 9 I �Vj'!j 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:wvvw,sjgov.org/ehd <br /> (13AE303 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally l:OlaVitn BUSINESS/AGENCY:Advancad Gg(FnyirnnmPntal <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: StOCkton/C /9F 15 <br /> PHONE(1): 209-467-1006 PHONE(2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE:ass Time: <br /> (Please allow 10 business days from date of application submittal.`Tontative only-muet be confirmed) <br /> ❑ CHECK BOH TO EXPEDITE REQUEST-$1 FEE A 'H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT_ �� DATE <br /> Electronlc Informatlon: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streets 8tmotName City UNt1 <br /> 1 21N8 a6h MaY osa - _ _ — S�trch -- <br /> 2.3. <br /> . nit.2- <br /> 4. eZf 8o w h Unita <br /> 6. /,)q <br /> 6. <br /> nit 4 <br /> 7. <br /> 0. <br /> Unit e <br /> 9. <br /> 70. <br /> nit 8 <br /> Specific Data Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ®SOLID WASTE FACIUTYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑F000 FACILITY ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONDORINOIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ®HA.7ARDOU9 WASTE(30ERATOR ❑CHICKEN RANCH ®WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOISODY 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 5:00 Am-6:00FM(EXCLUDING HOLIDAYS) <br /> 1. List uo to ten addresses In the space above. Select the type(s)of flies from the llat above by checking the appropriate <br /> box(es). At[(teat one Nle type MUST be selected. Fax to(209)464-0138 or mall 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 flies exist. An appointment for review will be cenflrmed approximately ten(10) <br /> days after rocalpt of application. The flies will behold fore 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 now 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 /> 6, it you need further assistance,please contact Dlans Martinez,at(209)468.3426. <br /> saousa NAY <br /> END 49.06 $127100 <br />