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U <br /> ll 0:01 AM A cad GeoEnvlronmental No. 6314EH0P' 1.vUMBER._� <br /> SAN JOAQUIN COUNTY <br /> 2 1 2010 ENVIRONMENTAL HEALTH DEPARTMEN <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> ENVIRONMENT HEALTnelephone: (209)468-3420 Fax; (209)464.0138 Web: www, jgcV.org/ d <br /> q 702 <br /> we <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICA, ION <br /> APPLICANT- Ally colavita BUSINESS/AGENCY: Advanced ceoenvisonmental, Inc. <br /> ADDRESS: 837 Shaw Road CITY/STATEIZIP Stockton <br /> PHONE(1): 209-467-1006 PHONE (2): 709-483-3401 FACSIMILE: 709-d67-1118 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submNtai-'Tentative onl -must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST.$11 FE C H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1/21/10 <br /> Electronic Information: ❑ List❑ Map—Description; <br /> FILE ADDRESS EHD USE ONLY <br /> WEAUSTT <br /> Street Name city ❑ Unit! <br /> H DIAMOND STREET Stockton <br /> ANDERSON STREET Stockton ❑Unit <br /> ANDERSON STREET Stockton + p(qfyu� <br /> ANDERSON STREET 6tOCktOri (/ <br /> C <br /> JjnitA <br /> ❑Unit 5 <br /> nit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES r <br /> r�UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 3rS,OLID WASTE FACILRYNEHICLE <br /> L�OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY By WASTE TIRE <br /> �IINDERGROL TANK(MONITORMa1REMOVAL) F1DOG KENNEL ❑DAIRY <br /> ;HAZARDOUS WASTE GENERATOR F1 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOISODY 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:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List un to(en addresses in the space above. Select the types)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 1209)464-0`138 or mail to the address indicated shove. 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 or 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 at ff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$116 deposit prior to review. <br /> 5. If you need further assistance,please contact Diane Martinez,at(209)468-3425. <br /> EHD USE ONLY <br /> 8/77109 <br /> EHD 68.09 <br />