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0312012015 11:36 <br />DATE RECEIVED <br />MAR 2, 0- 2015 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />iVli�C�tNIPdi;11_hT e0one: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PEF�at�11TJSEC <br />PUBLIC RECORDS RELEASE APPLICATION <br />P.0011001 <br />EHD LOG NUMBER <br />APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmenta <br />ADDRESS: <br />PHONE (1): <br />837 Shaw Road <br />209-467-1006 <br />CITY/STATE21p: Stockton / CA / 95215 <br />PHONE (2): 209-623-7200 <br />FACSIMILE: 209-467-1118 <br />TENTATIVE* APPOINTMENT DATE: Time: <br />(Please allow 10 business days from date of applimtlo ubmltt3i - • tauv only - must be conflnned) <br />F1CHECK BOX TO EXPED U T - 125 FEE (CA CK ON - REQU PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICA DATE <br />Electronic Information: ❑ List ❑ Map — Descrlptlon: <br />FILE ADDRESS <br />EHD USE ONLY <br />Unit 1 <br />Street Street Name CRY <br />1. <br />( �y'' <br />,L] Unit 2 <br />2. <br />3. <br />t=1= <br />_ J,�,�., i <br />Unit 3 <br />4. <br />4807 South Airpgrt Way St0CktQ�. <br />5.4500 <br />South Airport Way Sto kton <br />CD <br />L)j) <br />99 rj <br />W�� l 7 I`ll( <br />�'" <br />Unit 4 <br />Unit <br />s, <br />7. <br />B. <br />1 1888 -j----LQ-Qkhead Court Stockton <br />*`Address lines 4 - 7: Only requesting to <br />UST UST and LOP/ LUST files`'` <br />9. <br />tl � <br />Unit 6 <br />10. <br />Specific Date Rang* of Information Requested: From all to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />x❑ UNDERGROUND TANK (UST) CLEANUPSITE(LOP) ❑ HOUSINOABATEMENT Q SOLID WASTE FACILITYNEHICLE <br />X❑ OTHER CLEANUP SITE(NON-11-013) ❑ FOOD FACILITY ❑ WASTE TIRE <br />E UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ DOG KENNEL Q DAIRY <br />❑x HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WAMATERTREATMENT PLANT <br />❑x TIERED PETTED FACILITY ❑MOTELIHOTEL❑PUMPER TRUCKIYARDICHEMICALTOILETS <br />❑ TATTOWBODY PIERCING ❑ POOLIS PA LAND U SE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS [] OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 ANt-5:0017M (EXCLUDING HOLIDAYS) <br />1. L.Ist un to ten addresses In the space above. Select the types) of files from the list above by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax r mall to the add 5 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 buslnesa days for review. Appointments <br />should be scheduled accordingly. <br />3. A Me 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 />Frrti,m file reviews by the same annllcant may require a $126 deposit prior to review. <br />,v. `�2. ��� �l� ' v�nY.vrW ' k ta�Z �� I Nlvt' j.) � �; �l�`�`1, `1', vt ►--�►1. <br />A1414 <br />EHIJ 40-00 <br />er.Pived Time Mar.?Il. ?(115 11:RRAM No.RR14 <br />