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-j U/1G IlLU 1 fi 1/.LL TAA) r.UU uuv 1 <br /> 0 • <br /> ■: <br /> JWCEIVED SAN JOAQUIN COUNTY LOGYNSER <br /> JUL 2014 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 l <br /> NVIRCNMENTALHE &phone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATIONOf <br /> APPLICANT; Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton /CA/95215 <br /> PHONE (1): 209-467-1006 PHONE:(2): 209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal-"Tsnmitvs only-must be co rmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CA R CHECK LY)-REQUEST PROCESSED IN 3 i3USINESs DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: []List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street# Street Name City Unft 1 <br /> 1. <br /> 2360k East Street '�,� '' :'' ' Tracy6G>?S <br /> 2- Sol East Grant Line Road 3r6Xtraw unite <br /> 275 ad )e Tragy <br /> ��� •.�4. O <br /> el Unit a A' JT-372 <br /> 1 %— it � rel NGCc5j5. - , . i M <br /> S. 2421 Tracy <br /> y _ IvOCC- "nh 4 <br /> 7.,- '� ��Clieicr��I�a9 I lS 1oz4t 2 i JCti <br /> rant Line R' <br /> 8. c� Unit S <br /> 9. �.r- � • .,t� �;L`�,,�,.vT__ -('q~�`t,i �i.:,�:.��i/4i -�r�; � I� LILI <br /> Flo. nit 6 <br /> specific Date Range of information Requested: From all <br /> t� CSS C7 ENVIRONMENTAL HEALTH DEPARTMENT F1LE3 <br /> x UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITY/VEHICLE <br /> �, ale �x OTHER CLEANUP SITE(NON-LOP) []FOOD FACILiTY Q WASTETIRE 4 Or-11 <br /> X UNDERGROUND TANK(MONrrokING/REMOVAL) ❑DOG KENNEL DAIRY Or`W 1 1 0 <br /> 1i v �:)([H]HAZARDOUS WASTE GENERATOR 4 0,-LI)0,-LI) a`t ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT 1 j.�JL,) <br /> TIERED PERMITTED FACILITY k onl�31 I ❑marmtHOTEL ❑PUMPERTRUCKIYARDICHENACALT01LLTS <br /> []TATTOOIBODY PIERCING ❑POOL/SPA LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ' ❑COMPLAINT RECORDS to OnV AP( ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:00PM(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 mall to the a4d rs indicated above, Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 100 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 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 expanse of the applicant <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> FC-i Z C�l� <br /> _L. iD e J1e f' i- {fi: / ' Cate" <br /> EH018-0A�btaae- Pet Cance>, en <br /> Received Time Jul. 21. 2014 5: 10PM No. 6658 <br />