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10 08/15/2014 16:50 (FAX) P.0011001 <br /> 1p❑ <br /> to DATE RECEIVED EHD LOG NUMBER <br /> _ SAN .JOAQUIN COUNTY <br /> Z! `:_, ENVIRONMENTAL HEALTH DEPARTMENT (] (f <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> AUu 15 2014 Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd 9 �7 <br /> 1=i,1a11RONi',rEN'I1-kL H&I 1-i"Fl <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY; Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:-Stockton /CA/95215 <br /> PHONE(1): 209-4.67-1006 PHONE (2):_ 09-623-7200 FACSIMILE: 209-467-111$ <br /> TENTAT/VE'APPOINTMENT DATE: ASAp Time: <br /> (Pismo allow 10 business days from date of application submittal-"Tontativo only-must be Confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List❑Map—description; <br /> FILE ADDRESS EHD USE ONLY <br /> Street# `S#rest Nam® City Unit 1 <br /> 1• 8010 <br /> Street I<<r ';13`'`/ `'?y-P Trac ' <br /> 2. 8111 11 th Street"" E66nit 2 <br /> 3 8181 11th Street t`' t ".z` 1� -33I, Trac <br /> `t• 1000 11 th Street 1 q:'21', `(� '- " Tracy - Unit 3 <br /> 5. <br /> Unit 4 <br /> 7. <br /> 8. C3 Unit 6 <br /> 9. <br /> 10. ,p Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> x❑OTHER CLEANUPSrE(NON•LOP) ❑FOOD FACILITY ❑x WASTE TIRE <br /> x❑UNDERGROUND TANK(MONTIORINGIRWOVAL) ❑.DOG KENNEL. . .• = Q DAIRY <br /> Q HAZARDOUS WASTE GENERATOR ❑CKCKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPERTRUCKIYARD(CHEMICAL TOILETS <br /> ❑TATTOOIDODY PIERCING ❑POOL/SPA Q LAND USE APPUCATHM SITES <br /> ❑ MEDICAL WASTE FACILrrY ❑x COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:0013M EXCLUDING HOLIDAYS) <br /> 1. List up to ten addres8ev 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 flies 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 for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any file not returned in the same condlOon 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 MY <br /> ZHD 48.09 911111 <br /> Received Time Aug, 15. 2014..-4:39PM No. 6845 , <br />