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04/10/2014 10:55 lu (FAX) P.001/001 <br /> MGEN ) SAN .10A(aU1N COUNTY <br /> EHD LOG NUMBER <br /> � r7 <br /> APR 10 2014 ENVIRONMENTAL HEALTH DEPARTMENT <br /> I 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> E�MRONMENTALHE�A77/_3 <br /> Phone: (209)468-3420 Fax: (209) 464-0138 eb:www.sjgov.org/ehd <br /> PERMIT/SERVICES f] <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> 27____d <br /> APPLICANT: Robert Marty BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton /CA/95215 <br /> PHONE(1): ^209-467-1006 PHONE(2): 209-969-3239 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time- <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> V_CHECK BOX TO EXPEDITE REQUEST-$125 F CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BU INESS DAYS <br /> SIGNATURE OF APPLICANT DATE O11 a <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street d Street Name city 115Unit 1 <br /> 2. 5;7r/ f IB-n S 52-1 -t71�('' ��� Unit 2 <br /> 3. vm'e� i <br /> 4. 1113x;1W7 AAPAr* &Z DOP4s�b 3 '- Unit 3 <br /> 1� <br /> 6• x LJ "'�U-It4 <br /> 7. a / I <br /> unit 6 <br /> I ±;2;L 2 L9. <br /> ualc a <br /> Specific Data Rango of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> O UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT [E]SOLID WASTE FACIM[VEHICLE <br /> x0 OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITYXD WASTE TIRE <br /> x❑UNDERGROUND TANK(MONiTORINWREMOvAL) ❑DOG KENNELXD DAIRY <br /> D HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOL/SPA Q LAND USE 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 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ton addresses in the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)4§4-0139 or mall to the address Ind gated above. Address <br /> ranges will not be accepted-for additional assistance with Me addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The END will notlPy the applicant If any EHD flies 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.appllcation may be <br /> submitted when the file Is available. <br /> 4. Any(lie 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$125 deposit prior to review. <br /> i­1DL:�L L�rlL•' <br /> END 40A8 <br /> ReCeived Time Apr. 10, 2014 10:45AM No- 5747 <br />