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Jan, 24, 2008 4:53PM Ad, * ced GeoFrvironmental No- 0926 P. 1/2 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Pk _j <br /> 4 'V no <br /> gov. <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web,vvmv.sj 32578 <br /> L V T <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally colavita BUSINESSIAGENCY; Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road Stockton, CA <br /> PHONE(1); 209,_46.7-1006 PHONE(2): 209 463-3401 —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 SIT.$98.00 F <br /> SIGNATURE OF APPLICANT �e�7!EEE�AOR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> DATE <br /> Electronic,Information: [] List E]Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Strael Name city El Unit 1 <br /> 2. UnIt2 <br /> We-0 Ckaetty k�A/� IJ F, E-1 <br /> 1 1 <br /> 31 sivil4r".- ,3 4" ' <br /> 4. Ire)r Unit 3 <br /> 6. r, F7, <br /> 7. ri�, ...... ED uni <br /> j <br /> 8. q,3 we-4 C [Akw A) F <br /> 9. 13io yvt� F <br /> 10. 13�O wie4 C�'fi 4t, L) 5 P Unit 6 <br /> L1,11, _j <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 11 HOUSING ABATEMENT 01,113 WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) 11 FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) M DOG KENNEL tAIRY <br /> XHAZARDOUS WASTE GENERATOR M CHICKEN RANCH 173 WASTEWATER TREATMENT PLANT <br /> M TIERED PERMITTED FACILITY 0 MOTEL1HOTEL EI PUMPER TRUCKIYARDICHEm TOILETS <br /> 0 TATTOOIBODY PIERCING 0 POOLISPA 0 LAND USE APPLICATION SITE$ <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILAOLE FOR REVIEW- MONDAY-FRIDAY 8:00 Am-5:00pm - EXCLUDING HOLIDAYS. <br /> 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(2091464-0138 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 /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD flies exist. 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 EHD 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 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 /> EMU 48-06 WEB 8N12007 <br />