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f 0911412010 08:21 Advanced G7-7nviromentaI Inc. -V)2094671118 P.0011001 <br /> —R TE t�CEi0E6 1'I� I��}' Q i EHD L,OGNUMW:R <br /> '^ <br /> "?� , ENVIROT ARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> Tett;Ihanel: (209)488-3420 Pax: (209)464-0136 Web:www.sJgov:argle>1d <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: AlIg Galayffia 8USINESSIAOENCY:AdVAnrPrj_GeaFn jrQj3MPntAF <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton/GA/95215 <br /> PHONE(1): 209-467-1006 PHONE(2):209-483-3401 FACSIMILE: 209467-1118 <br /> TENTATIVE*APPOINTMENT DATE: Egan Time; f <br /> (Please allow 1 D business days from date f applio tion submIttal-*Tdat9flve only-muld be confirmed) <br /> CHECK BOX TO EXPEDITE PEQU T- 176 FE (CA5 OR ECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> 8IQN TUBE OF APPLICANT !L DATE 911.41-1 __ <br /> Electronic Information: ❑ LIat❑Map--DeaorIPtIon: !i <br /> FILE ADDRESS EHD USE ONLY <br /> Street# street Name City+ El Unit 1 <br /> 1610 North Smadway Avenue Stockto-n AQ <br /> 2. <br /> Zltz r <br /> 3. <br /> 4. <br /> nit a <br /> JrF 1� c ti <br /> nit 4 <br /> 7. <br /> Unit 8 <br /> 10. <br /> I nIt a <br /> Speolfic Date Range of Information Requested: From I _OAF~ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ®SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINe/REMOVAL) ❑Doo KENNEL ❑DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ®WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMrrTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ® MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> -WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REyIE:w: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAY$) <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(as). At least one filo type MUST be selected. Fax to(209).464-0438 or ma11 to the address Indicated above. Address <br /> ranges will not be Accepted-for additional asslatance with file addresses,contact the EHD. Appileatior)e received after - <br /> 3:00 pm will be processed the next business day. iR <br /> 2. The EHD will notify the applicant If any EHD files exist. An appolAtnient for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be hold for a maximum of five buslneea 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 aVallable for review. A now application may ba <br /> submitted when the fllw Is available, 4 I <br /> 4. Any wo not returned In the some condition as re[eaved will be roorganlzed by EHD staff at the expense of the applicant. <br /> Future file reviews by the Game appiloant may require a$118 deposit prior to}review. <br /> S. If you need further asslatance,please contact Diane Martinez,at(209)488.3425. <br /> CHn U6G ONLY <br /> rb �.: p n <br /> END"'0" <br /> ers�roa <br /> I <br />