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f 04/1012015 13:1.5 • > P.0011001 <br /> q1+j EHD LOGNUMB�� I��CEIVED 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)464-0138 Web: WWw.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: William I.itfle BUSINESS/AGENCY: Advanced f+enEnViranmental <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton 1 CA 195215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209- FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> -30 (Please allow 10 business days from date of application submittal-'T'entative only.must be confined) <br /> Q CHECK BOJ(TO EXPEDITE REQUEST��-xn$12 F E(CASH OR ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT VJH 1 , X DATE t CO C5. <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY / <br /> 9treettF Street Name City - Unit 1 <br /> 1. 500 East Louise Ave '1-1 <br /> 2 Sys 171 unitz <br /> 3. q�v-1 ( , <br /> 4. [gy -1�-+� unh3 <br /> 6, y ( L - X1-1- Unit <br /> 7. <br /> S, 0 Unit 6 <br /> 8. <br /> 10. ❑(rnits <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> O UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT Q SOLID WASTE FACILITYNEHICLE <br /> OOTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY OWASTE TIRE <br /> x❑UNDERGROUND TANK(MONRORINGIREMOvAL) ❑DOG KENNEL El DAIRY <br /> Q HAZARDOUS WASTE GENERATOR ❑'CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOGISODY PIERCING ❑POOLISPAx❑LAND USE APPLICATION SITES <br /> ❑ MEDICALWASTE FACILITY O COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the apace above. Select the type(s)of flies 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 address Indicated abovQ. Address <br /> ranges will not be accepted-for additional assistance with file addresaes,contact the FHP. 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 ID 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 some 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$125 deposit prior to review. <br /> EHD USE ONLY <br /> can nanx <br /> mull <br /> Received Time Apr. 10. 2015 1 : 12PM No. 8510 <br />