Laserfiche WebLink
03!16!2011 08:39 Advanced GeoEnviromental Inc. (FAX)2094671118 P.0011001 <br /> C1�Tl=K EfG I3�I aid EHD LOG NUMPER <br /> H Al"4NOUTAN3 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT 55 <br /> IIR 9 1 NdIJ 600 East Main St. Stockton, CA 95202-3029 0 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> e <br /> 03A1303H, PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 411V Colavita BUSINESS/AGENGY.A vanoed GeoEnyirnnmPntal <br /> ADDRESS: a37 Shaw Road CITYISTATEIZIP: Stockton/CA/95215 <br /> PHONE(1): 209-467_1006 PHONE(2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE:M2t] Time: <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confirmed) <br /> I] CHECK BOX TO EXPEDITE REQUEST-$1FEE A OR CHECK ONLY)-REOUEST PROCESSLD S D <br /> IN 3 LQ$INESAYS <br /> SIGNATURE:OF APPLICANT ( C�1h ��Y� �� DATE <br /> Electronic information: ❑ List❑ Map,Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 4 Street Name city 171[unit 1 <br /> �a 1. � I a6i magi osA --5 2. - <br /> -- . nit.2. <br /> —12. <br /> -- -- -- <br /> � S• <br /> 4. <br /> ,Unit s <br /> 8' nit 4 <br /> 7. <br /> S. M unit is <br /> 9. <br /> 10' <br /> Specific Data Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 91 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ®SOLID WASTE FACILNYNEHICLEV <br /> R1 OTHER CLEANUP SITE(NON-LOP) ❑Fool)FACILITY ®WASTE TIRE <br /> N UNDERGROUND YANK(MONITORINOIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> 50 HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ®WASTEWATER TREATMENT PLANT <br /> 9 TIERED PERMITTED FACILITY MOTELIHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATToolSODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARP AVAJLA13LE:FOR REVIEW: MONDAY-FRIDAY 8:00 Am-6:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(as). At least one file type MUST be selected. Fax to(209)484-0138 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 revlew will be confirmed approximately ten(10) <br /> days after receipt of application. The flies will be held for a maximum of five business days for review. Appolntmenta <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 file Is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHO staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$115 deposit prior to review. <br /> 6. If you need further assistance,please contact plane Martinez,at(205)468-3425. <br /> IM use NAY <br /> EHD 46.08 <br /> FILE COM,ft7/09 <br />