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Mar: 18. 2009 12: 19PM vanced GeoEn_v -rnEntal <br /> ;�!� ,�� No: 4 <br /> SAN JOAQUIN COUNTY EHp LOG NUMBER -- <br /> MAR 1 8 2009 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600]East Main Street, Stockton, CA 95202-3029 <br /> ENV1RONN,11--N f HEALTH, Telephone:(209)468-3420 Fag: (209)464-0138 Web: tvww,s' 0v,0r 097- <br /> Z <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:.Ally Colavi,ta _BUSINE$$lAGENCY: A&varzced GeoEnvirnrmental <br /> ADDRESS; 837-Shaw Road StPcicGOn 95215 <br /> f <br /> PHONE(1): 209-467-1006 PHONE(2): <br /> 463-3401 FACSIMILE: 457-1118 <br /> TENTATIVE"APPOINTMENT DATE: -- Time- <br /> -i; <br /> ime:_ <br /> (Please allow 10 buaines9 clays from date of application submittal."Tendetive only-must be confirmed) p <br /> CHECK BOX TO EXPEDITE REQ E T-$ AO E GASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> i� <br /> SIGNATURE OF APPLICANT DATE oa la o9 <br /> Electronic Information: ❑List El Map—Description; <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> street# Strew[Name Cly ❑ -- <br /> Unit i <br /> �• 340West Highway 12 Lodi <br /> •r � l , <br /> Z' <br /> 3. <br /> 4. <br /> ---- <br /> UnIt3 <br /> /iJnit4 <br /> T. <br /> 8. <br /> ❑ units <br /> 9. <br /> 10. <br /> Unit 6 <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> E UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HpUSING ABATEMENT 0 SOLID WASTE FACILITYNEMCLE <br /> 0 OTHER CLEANUP SITE(NON-LOP) ❑FOOD FAcIurY ❑WA$TE TIRE <br /> 129 UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ DOG KENNEL ❑DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHSCKEN RANCH 12 WASTEWATER TREATMENT PLANT <br /> O TIERED PERMITTED FACILITY ❑MOTE11HOYEL ❑PUMPER TRucK1YARDICHEM TOILETS <br /> 0 TATTOOIBODY PIERCING ❑POOVSPA M LAND Ust APPucATIon SITES <br /> ❑MEDICAL WASTE FACILITY O OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW• MONDAY-FRIDAY 8:00 Ant-5:00PM - EXCLUDING HOLIDAYS. <br /> 7. 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. 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 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 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 i. <br /> should be scheduled accordingly. r <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 EHD staff at the expense of the appllcant, <br /> Future file reviews by the same applicant may require a$98.04 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 44-06 WEB 8P+12007 <br />