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ti 0411012015 13:1.5 • ) P.0011001 <br /> % EHD LOG NUM <br /> �M ��� V iIC GD SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> APR 10 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0136 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> FERMITISERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: William Little BUSINESS/AGENCY: Advanced G _o nvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton / CA/ 95215 <br /> PHONE(1): 209467-1006 PHONE(2): 209- FACSIMILE: 209-467-1118 <br /> S�y� TENTATIVE'APPOINTMENT DATE: Time: <br /> PP�I �� (Phase allow 10 business days from date of application submittal-'T'entavve only-must be conDrtnod) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$12 F E(CASH OR ONLY)-REQUEST PROCESSED IN$BUSINESS DAYS <br /> SIGNATURE OF APPLICANT= � /` DATE �41- 0—� S` <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY / <br /> Street iF Street Name city Unit <br /> 1 500East Louise A � 8 <br /> 2. 365 East Loulse Ave Lathrop 171 Unit 2 <br /> 3. 4()Q D'Arcy Parkway Lattim <br /> 4. -600 - \-5-1� Unit3 <br /> tQ N ( unH4 <br /> 7. <br /> B. Unit 6 <br /> 9. <br /> 10. <br /> 6. ❑Unite <br /> Specific Date Range of Information Requosted: From allto <br /> ENVIRONMENTAL HEALTH DEPARTMENT—FILES <br /> O UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT E]SOLID WASTE FACILITY/VEHICLE <br /> x❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑x WASTE TIRE <br /> x❑UNDERGROUND TANK(MONRORINGIREMOVAL) ❑DOG KENNEL El DAIRY <br /> Q HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLA14T <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA D LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY [E COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND 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 apace 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 abeve. 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 appllCant If any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days atter 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 file review$by the Same applicant may require a$125 deposit prior to review. <br /> EHD USE OhIY <br /> enm <br /> ME Aura <br /> Received Time Apr. 10, 2015 1 : 12PM No. 8510 <br />