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U � � . v4 . cvur G7onv! H (Ivaneea aeoLnvironmentaI No . 6183 P . 1 <br /> bAYE RECEIVED E LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> 0VV1 0 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton , Ol 8 Web : www.sigov. org/e <br /> r� <br /> LILA 2 4 2009 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web : wwwsjgov. org/ehd J (y, <br /> ENUIRpp "+ '7 AITIJ PUBLIC RECORDS RELEASE APPLICATION <br /> PERO L$jWE;51y colavita BUSINESSIAGENCY: Advsncod Geezav ronmentai , Inc . <br /> ADDRESS : 63 > Shaw Road CITY/STATE/ZIP: Stockton <br /> PHONE (1 ): 2as - 467 - ioa6 PHONE (2): so9 - sea - asci FACSIMILE : los -467 - 1us <br /> TENTATIVE" APPOINTMENT DATE: Asa2 _ Time: <br /> (Please allow 10 business days from date of appllcatlon submlttal - "Tentativeonly- must be Cenflrmed) <br />'� ❑ CHECK BOX TO EXPEDITE REQUEST - $1 5 F E (C H CHECK ONLY) REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT � DATE 12 /24 / os <br /> E(ectronlc Information : E] List ❑ Map — Description: <br /> FILE ADDRESS END USE ONLY <br /> Street # Street Name City f <br /> - ❑ Unit <br /> 1 . 2S7S Country Club Boulevard Stockton <br /> 2. <br /> l <br /> Unit <br /> 4. <br /> ti � nit 3 <br /> 6. <br /> y. � ❑ 4 <br /> 8. <br /> 1D. <br /> nIt6 <br /> Speeifio Date Range of Information Requestad: From to <br /> �-�1 ' ENVIRONMENTAL HEALTH DEPARTMENY FILES <br /> L7 tiNDERGROUNU TANK (UST) CLEANUP SITE ( ) ❑ HOUSING ABATEMENT <br />' LOP � S'O' LID WASTE FACILITYNEHIOLE <br /> HWER CLEANUP SITE (NON•LOP) ElEyeRFOOD FACILITY rrASTETIRE <br /> UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ DOD KENNEL ❑ DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH <br /> El WASTEWATER TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY <br /> ❑ MOTEL/HOTEL [] PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑ TATTOO/BODY PIERCING ❑ PDOLISPA ❑ LAND USE APPLICATION SITP$ <br /> MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 6:00 AMZ:O0PM (EXCLUDING HOLIDAYS <br /> ) <br /> 1 . Ltst uo to ten addresses In the space above. Select the type(S) Of Nies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to (209) 484.11138 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 tan (10) <br /> days after recelpt of application. The flies 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 $116 deposit prior to review. <br /> 6. If you need further assistance, please contact Diane Martinez, at (209) 4684426. <br /> Etta IE EONLY <br /> EHe 46.09 n <br /> 0111/09 <br />