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Jan, 24, 2008 4: 53PM Adv�nced Geohvii'ompental No. 0926 F. 2/2 <br /> DATE RECEIVED 4ft.01 EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> vv EN84RONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgo or <br /> PUBLIC RECORDS RELEASE APPLICATI 10 <br /> -APPILII&t N-T: Ally Colavita --BUSINFSSIAGENCY: Advanced Geofnvironmental <br /> ADDRESS: 837 Shaw Road Stockton, CA <br /> PHONE(1): 209 467-1006 . PHONE(2): . 209 483-3401 FACSIMILE: 209 467-1118 <br /> TENTATIVE*APPOINTMENT DATE: Tlmo: <br /> (Please allow 10 business days from date Of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE RE $88 0 F CASH CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Jo DATE <br /> Electronic Information: El List El Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street NameCity El <br /> Unit 1 <br /> 2. 0 Unit 2 <br /> 3, <br /> 4. C Unit 3 <br /> 5. Wes,+ <br /> A) <br /> 0 .' -AEA A A <br /> 6. Unit <br /> 7. <br /> Unit 5 <br /> 9. <br /> 10. Unit 6 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 3UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HoUSINGA13ATEMENY OLID WASTE FACILITY/VEHICLE <br /> -afP1THER CLEANUP SITE(NON-LOP) 11 FOOD FACILITY ASTE TIRE <br /> NDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR El CHICKEN RANCH 171 WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY 0 MOTEUHOTEL 0 PUMPER TRUCKIYARDICHEm TOILETS <br /> TATT00113ODY PIERCING 0 POOLISPA 73 LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-6:00pm - EXCLUDING HOLIDAYS, <br /> 1. List up to ton 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. FIX to(2091464-0138 or mail to the addressIndicatedabove. 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 ton(10) <br /> days after receipt Of application. The files will behold 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 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$98.00 deposit prior to review. <br /> - EHD USE ONLY <br /> EMC 411.06 WEB&1812D07 <br />