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04110/2014 10:55 <br />TAX) --- -- <br />RE6VED <br />SAN JOAQUIN COUNTY <br />4.0011001 <br />EHD LOG NUMBER <br />APR 10 2014 ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />EMIIRONMENTALHE -AP" : (209) 468-3420 Fax: (209) 464-0138 eb: www.sigov.org/ehd _ <br />PERMITISERVICES 77/ <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Robert Martv BUSINESS/AGENCY: Advanced GeoEnvironmental <br />ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton / CA / 95215 <br />PHONE (1): 209-467-1006 PHONE (2): 209-969-3239 FACSIMILE: 7-1118 <br />TENTATIVE' APPOINTMENT DATE: ASAp - Tnie: <br />(Please allow 10 business days horn dais of application submittal-'Teniattve only - most Do confirmed) <br />CHECK BOX TO EXPEDITE REQUEST - $125 F CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BU iNESS DAYS <br />SIGNATURE OF APPLICANT DATE 'q &0/ <br />Electronic Information: ❑ L16t ❑ Map — Descriptlon: <br />FILE ADDRESS <br />EHD USE ONLY <br />Unit 1 <br />Street# Street Name City <br />r ri� � <br />unit 2 <br />2.�• VV17t /L S <br />3. <br />o <br />e*57-1 1JN <br />-;hWArVW <br />fi <br />Unit 3 <br />4. 1'136'- /yy% tJM, 0, DO6i1J S rTllG1 1 <br />5-A6,2- <br />ya <br />r ln-rA <br />7. <br />0 Unit 6 <br />a• <br />9. <br />UnR 8 <br />10• <br />Specific Dote Range of Information Requested: From all <br />ENVIRONMENTAL. HEALTH DEPARTMENT FILES <br />x❑ UNDERGROUND TANK (UST) CLEANUP STTE (LOP) ❑ HOUSING ABATEMENT Q SOLID WASTE- FACIUTYNEHICLE <br />0 OTHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY ❑x WASTE TIRE <br />x❑ UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ DOG KENNEL x❑ DAIRY - - <br />0 HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREAMENT PLANT <br />'El TIERED PERMITTED FAciLrry [] MOTEIHOTE. [:1 PUMPERTRUCKIYARDICHEMICAt TOILETS <br />❑ TATToo/B00y PIERCING ❑ POOLISPA X❑ LAND UsE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS - ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERNIIT RECORDS ARE AVAILABLE FOR REviEw. MONDAY -FRIDAY 8:00 AM-6:00PM (1=XCLUDING HOLIDAYS <br />1. LjIl ggto 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 (2001464-0138 or mail to the sddnaas Indicated above. Address <br />range@ 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 flies 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 fife 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 $126 depoalt prior to review. <br />WL% LII LN'ILe <br />END 48-08 Willi <br />Received Time.Apr, 10. 2014 10:45AM. No. 5747 <br />Y <br />14. <br />