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02101/2013 15:51 Advanced Geo ~iromental Inc. --)2094671118 P.0011001 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> r <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> SEB 1%lephone: (209)468-3420 Fax: (209)464-0138 Wena:www,sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally Colavita '' BUSINSSSIAGENCY: Advanced GeDEnvironmental <br /> ADDRESS: 837 Shaw Road : CITYISTATE01P= Stockton/ CA/95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209.483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: ARAP Time: <br /> {Please allow 10 bualness days from date of application qubmlttal-*Tarlt9dVQ only-muat be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUES - 125 FEE(C H 0 HE IC pNLY)-REQUESTPROCESSED IN 3 BUSINE8 DAYS <br /> SIGNATURE OF APPLICANT / DATE r I /—:9 <br /> Electronic Information: ❑ Llst❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name city 0 Unit 1 I <br /> 1. a506 ' •"'Maggio_Circla ter, Lodi <br /> a. 2370 Magglo Clrlice Lodi ouftltx <br /> 3• 309 Driftwood Drive <br /> Lodi � <br /> 4. ,37-05"x"""'"!!'""S-EI:V0rado 'S.1CC9et StOCkf013 i Units <br /> 6. `T3147 'rT EITDorada S11:reeStockton � � <br /> 6. 3734 Fairmont Avenue Stockton t fib) 1 UnIt4 <br /> T' Stockton <br /> B. Unita <br /> S. <br /> 10. Unit a <br /> Specific Date Range of Information Requested: From Oil to <br /> ENVIRONMENTAL HEALTH DE=PARTMENT PIKES ! <br /> 0 UNDEROROIIMD TANK(UST)CLEANUP SITE(LOP) ❑HOiIsm AeAiemr-NT Q SOLID WASTE FACILiTYIVEHICLE I <br /> x❑OTHER CLEANUP SITE(NON-LOP) ❑FOODFACILITY WASTE TIRE <br /> x❑UNDERGROUND TANK(MONITORINGIRF-MOVAL) []Doo KENNEL DAIRY <br /> Q HA7ARDOUS WASTE G9NHRATOR ❑CHtCKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERN#ITTED FACILITY ❑MOTELIHOTEL PUMPERTRUcKIYARDICHEMICALToiLETs <br /> ❑TATTOoIBODY PIERCING [71 POOLISPA ❑LAND USE APPLICATION Sims <br /> ❑ MEDICAL WASTE I+ACiL1TY 0 COMPLAINT RECORDS ❑OTHER(PLEASE SPI=c M <br /> Walt.AND Sep=PzRmrr RECORDS Alke AVAILAaLE POR Revmw: NIONDAY-FR#DAY 8:00 AM-S:OOFiN(EXCLUDING HOLIDAYS) <br /> 1. List uta to tan addrasoe$ In the apace abode. 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, Indicated above. Addreag <br /> rxngtte will not be accepted-for additional assistance with file addmoses,contact the EHD. Applications received atter <br /> 3:00 pm will be processed the next bualness day. <br /> F. The EHD YAII notify the applicant If any EHD tiles exist. An appointment for review will be conflrmad approximately tan(10) <br /> days after recslpt of application. The Mao will be held for a maximum of five bualness days for review. Appointments <br /> should be scheduled accordingly.. { <br /> 3, A file that-Ia actively being worked'on by EHD staff may not he Immediately available for review. A new appllcatian may be <br /> submlttedwhen the file Is available. <br /> 4. Any file not returned In the cams condition as released will be norganlxed by EHD staff at the expense of the applicant. <br /> Future filo reviews by the lama applicant may require a$125 deposit prior to review. <br /> END UeE ONLY <br /> n a•u9 /if77 <br /> Received Time Feb. 1. 2013 3:47PM No. 2214 � <br />