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I. 03/20/2013 15:02 Advanced GeoEnviromental Inc. (TAX)209 4671118 P.0011001 <br /> Is <br /> 1% <br /> P^' EHD LOG NUMBER <br /> f QA E q EKED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAR 210 2013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 �1 w <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.slgov.org/ehd {(CJ <br /> ENL RDNIMENTA:L HFAUI-t-i <br /> PERMIT/SE=RVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATEIZIP: Stockton / CA/ 95215 <br /> PHONE (1): 209-467-1006 PHONE(2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: A,^SAP Time: <br /> (Please allow 10 buelneae days from date of application submittal.*Tentative only-must be confirmed) <br /> ❑ CHECK BOX 70(EXPEDITEFn <br /> E T-5125 FIE R C E NLY)-REQUEST PROCESSED IN 3 B SINES DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑ Map—Des ipti n: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name City ,dunHt <br /> 1• 21092 South Pillsbury Road Manteca _ <br /> 2• 3697 East Louise Avenue Manteca e e,,' .unit2 <br /> 3- 2901 East Louise Avenue Manteca '90 <br /> 4- 2901 South Airport Way Mantecal:--07003SS' unit3 1S? <br /> s. V <br /> S. s iL <br /> El'unit4 <br /> 7. 341 13 <br /> 8. <br /> Unit 6 <br /> 9. <br /> 10. <br /> nit e <br /> Specific Data Range of Information Requested: From all to ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> E UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSINe ABATEMENT ❑x SOLID WASTE FACILITYNEHICLE <br /> X❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑x WASTE TIRE <br /> x❑UNDERGROuNO TANK(MONITORINGIREMOvAL) ❑DOG KENNELX❑DAIRY <br /> Q HAZAROous WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPF72TRUCKIYARDICHEMICALTOILETS <br /> ❑TATTOo/BODY PIERCING ❑POOVSPA ❑x LAND USEAPPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑x COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AmZ: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(es). At least one file typo MUST be selected. Fax to(209)464.0138 or mail 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 he 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 flies will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Ia actively being worked on by EHD staff may not be Immediately avaliable 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 EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a $126 deposit prior to review. <br /> ENO USE ONLY <br /> ENO 484e milli <br /> Received Time Mar. 20. 2013 2:58PM No. 2606 <br />