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-o U//11/1U14 1/:11 (FAX) P.0011001 <br /> 11 ❑ <br /> ❑ n � <br /> D0❑ 11 yL-�'�� V Lam,® EHD LOG NUMBER <br /> 00 1J �L� rts;oYY SAN .JOAQUIN COUNTY � <br /> JUL 2 2 Z01� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTAL HF 7'L�Aphone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PERMITJSERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION n <br /> APPLICANT: Rebecca Natal BUSINESS/AGENcY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road cITY/STATE/zIP: Stockton /CA/95215 <br /> PHONE (1): 209-467-1006 PHONE(2): 209-623-7200 FACSIMILE: 209-467-11-18 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal."Tantetfva only-must be co rmed) <br /> CHECK BOX TO EXPEDITE PsEQUEST-$125 FEE(CA R CHECK LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 1 DATE <br /> Electronic Information: ❑Llst❑ Map—description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name City Unft 1 <br /> 12- <br /> 2360-;k — East Street1 3(-�' a� � ' i ' Trac r,GO 3 1 East Grant Line Road 0-12?Na " @Tracy unft2 t/ <br /> 3. 275 East Grant Line Road I.Vid35- e Tracy horin <br /> 6. - ,,35 Tracy <br /> 6. � bTracy7L nft4 <br /> 8 Unit 5 <br /> A <br /> 10. r L-) n i' ( �1:�G�L�rL.4 3_ 'J Lvl �nIt6 <br /> Specific Date Range of Information Requested: From all ( = f to <br /> i`S'7� ENVIRONMENTAL HEALTH DEPARTMENT-FILE$ <br /> ❑x UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 0 SOLID WASTE FACIUTYNEHICLE <br /> x OTHER CLEANUP SITE(NON-LOP) El FOOD FAGLITY Q WASTE TIRE 4 OVAL 'tr-I <br /> LXJ UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY * N" <br /> ' '�❑HAZARDOUS WASTE GENERATOR 4 O+^� '� ❑CHICKEN RANCH ©WASTEWATER TREATMENT PLANT <br /> x TIERED PERMrrrED FACILITY k OnuJ Al I ❑MOTEIIHOTEL ❑PUMPER TRUCKIYARDICHEfWCALTOILETS <br /> TATTO01BODY PIERCING ❑POOIJSPA a, ❑x LAND USE APPLICATION SITES I.0nlu)Q- <br /> ❑ MEDICAL WASTE FACILITY ❑COMPLAINT RECORDS R Cn\y b�I ❑OTHER(PLEASE SPECIFY) <br /> WEU.AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Afu S'QOPM(EXCLUDINQ HOLIDAYS) <br /> 1. List up to ten addresses 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 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 files exist. An appointment for review will be confimted 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 new application may be <br /> submitted when the filo Is available. <br /> 4. Any file not retumsd 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$125 deposit prior to review. <br /> EHD 4" e11 l <br /> Received Time MAI. 2014 5: 10PM No- 6658 <br />