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Jan. 24. 2008 4:53PM Ad*ed Geo Environmental . No. 0926 P. 1/2 <br /> DATE RECEIVED EHD LOG NUMBER <br /> n 17-1 : _ SAN JOAQUIN COUNTY <br /> r�IlI J Lr LU) ENVIRONMENTAL HEALTH DEPARTMENT l o Z <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> x.41'; a 26o Telephone:(209)468-3420 Fax:(209)464-0138 Web:wwwsjgov. E73 <br /> - HtA ry PUBLIC RECORDS RELEASE APPLICATION <br /> r <br /> APPLICANT: Ally colavita -BUSINESS/AGENCY; Advanced GeOEnvirOnIDental <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: Time: <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQU T-$98.00 FEE A OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ DATE 12y` <br /> Electronic Information: [:] List❑Map-Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> sbwti Street Name city ❑ Unit 1 <br /> _._ <br /> 1. 1501 Wdr{ Ck vtte W& 94aol�dv "� '„ e1,Ca ': ) <br /> 2. I5�1 _V40 C W .. IQ 1` F. ❑ UnIt2 <br /> 3. ta4 er L' _s.. VU_. Sic m !� QC`s /7 <br /> 4. 14A4 soiK evslnin Ave_ o K unit <br /> - - <br /> S. 12 02. Nck V V prl'e' r� . <br /> 6. 1140 Mkw rf _ N 5 tt <br /> 7. I 31 SoK13 tri<1in !_. ❑ un' <br /> 6• 1x31 1/UL f F' If <br /> 9. 1310 GST C _ IF If unRe <br /> 10. 13`10 1 Wif,4 •t, <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> f <br /> NDERGROUND TANK(UST)CLEANUP STE(LOP) ❑HOUSING ABATEMENT OLID WASTE FACWTYIVEHICLE <br /> THER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY WASTE TIRE <br /> NDERGROUND TANK(MONITORINGIRENOVAL) ❑Don KENNEL ❑DDAIRY <br /> XHAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPER TRUCKIYARDICHEM TOILETS <br /> TATTOWBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITE$ <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY8:00AM-6:Q0PM - EXCLUDINGHOUDAYB. <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(ea). At least one file type MUST be selected. Fax to(208)464-0138 or mall to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:DO pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD files axial. 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 business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHU 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 atthe 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 /> EHD4Mf WEB Nn007 <br />