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�rn ll1 IO:OIAM -ed GeoEnvironmental No, 6314 <br /> FIR,-u J �L� EHD <br /> SAN JOAQUIN COUNTY <br /> 2 1 2010 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> ENVIRQNMEAT HFAL.TRelephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/Hd7o <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally Colavita BUSINESSIAGENCY: Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 ShaW Road CITY/STATEIZIP: Stockton <br /> PHONE(1): 209-467-1006 PHONE(2): 209-483-3401 FACSIMILE: 209-467-111E <br /> TENTAT/VE*APPOINTMENT DATE' ASAP Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> [—] CHECK BOX TO EXPEDITE REQUEST-$11 FE C H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1/21/10 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> 1 1050 SOUTH DIAMOND STREET Stockton <br /> 2, j` EAST ANDERSON STREET Stbekton ❑Unit 2 <br /> 3. 2055 EAST ANDERSON STREET Stockton <br /> 4. 2141 EAST ANDERSON STREET Stocktori � nit3 <br /> 6. nit 4 <br /> 7. <br /> g. <br /> L611 <br /> __._. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> INDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT lySOLID WASTE FACILITYNEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY R%ASTE TIRE <br /> 'NDERGROUNO TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ;HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOL/SPA C1 LAND USE APPLICATION SITES <br /> YMEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <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(es). At least one file type MUST be selected. Fax to (2091464-0138 or mail 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 files 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 an 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$116 deposit prior to review. <br /> 5. If you need further assistance,please contact Diane Martinez,at(209)468-3425. <br /> EHD USE ONLY <br /> EHD 48.06 8/27108 <br />