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Jan. 15, 2010 6:35PM A`' need GeoEnvi ronmental No. 6294 P. 1 <br /> I `(DATE RECEIVED _. EHD LOG NUMBER <br /> SAN JOAOI <br /> ENVIRONMENTAL HE <br /> 2010 600 East Main St. Stockton,-TCA <br /> Telephone: (209)468-3420 Fax: (209)464-0138 We%wwwsjjago1e <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION 7 <br /> PERMI I ISERVIVES ARTHUR DEICKE ADVANCED OEOENVIRONMENTAL, INC <br /> APPLICANT: BUSINESS/AGENCY: <br /> ADDRESS: 837 SHAW ROAD CITY/STATE2IP:ITocKTON, CA 95215 <br /> PHONE(1)' 209-467-1006 PHONE(2): 209-323-6497 FACSIMILE: 209-467-1118 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> r1 (Please allow 10 business days from date of application submittal•`Tentative only-must be confirmed) <br /> (/CHECK BOX TO EXPEDITE REQUEST-$1 FEE(CA$H OR CHI=CK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> �� ANUARY 2010 <br /> SIGNATURE OF APPLICANT � ' � ,.�K,.�: DATEJ <br /> _ <br /> EleCtronle Information: ❑List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City — - ❑Unit 7 <br /> 1. 2705 COUNTRY CLUB BOULEVARD STOCKTON <br /> 2. -- -- ❑Unit 2 <br /> 3. <br /> 4. n <br /> b. <br /> ae-it4 <br /> 7. AW <br /> \ <br /> $- <br /> - O. V*J, -— -.. 0 Unit 5 <br /> -----__ - - ---_ - ----�- Unit 6 <br /> Specific Date Range of information Requested: From 1991 to 2009 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITY/VEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOYAL) ❑DOG KENNEL ❑DAIRY <br /> ❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATtO0/80DY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Am-5:00pai(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addrgases 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(209)464-0138 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 on by EHD staff may not be immediately available for review. A now 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 foe reviews by the same applicant may require a$115 deposit prior to review. <br /> 5. If you need further assistance,please contact Diana Martinez,at(209)468.3426. <br /> END USE ONLY <br /> E B <br /> arerroe <br />