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i 1212112Q12 16:12 Advanced GeoEnviromental Inc. TAX)209 467 1118 P.0011001 <br /> lir ATE RECEIVED SAN JOAQUIN COUNTY EHD Loa NUMBERRECEIVED ENVIRONMENTAL HEALTH DEPARTMENT <br /> DEC 1 201 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> elephone: (209) 468-3420 Fax. (209) 464-0138 Web: www.sjgov.org/ehd 78 <br /> ENVIRONMENTAL HEALTH <br /> PERMI'r'SERViCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally Colavita BUSINESSIAGENCY: Advanced CeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton / CA 195215 <br /> PHONE(1): 209-467-1006 PHONE (2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: Ac;Ap Time: <br /> (Please allow 10 buelness days from date of appileatlon submittal-`Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQU - 125 FE CAS R HECI4 ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE lZLZ I/r x- <br /> Electronic Information: ❑ List❑ Map- Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street a Street dame City zunit1 f <br /> 1. 18754 East State Route 26 Linden Ir <br /> 2. <br /> Unit 2 <br /> 3. <br /> 4. unit 3 <br /> S. <br /> Unit 4 <br /> 7. <br /> S. <br /> Lj Unit 6 <br /> 9. <br /> 10. <br /> nit s <br /> Speciflc Data Ranee of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP 81TE(LOP) ❑HOUSING ABATEMENT []x. SOLID WASTE FACILITYIVEHICLE <br /> X❑OTHER CLEANUP SITE(NON-LOP) ❑F000 FACILITY Q WASTE TIRE <br /> x❑UNDEROROUNDTANK(MONrrORINoIREMOVAL) ❑Doa KENNEL DAIRY <br /> Q HAZARDOus WASTE 13ENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> x❑TIERED PERWTED FACILrTY ❑f4tOTELIHOTEL ❑PUINPERTRUCKIYARDICHEMICALToILETS <br /> ❑ <br /> TATTOO/BODY PIERCING ❑POOLISPA 0 LAND UsEAPPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 0 COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM$:00PNI(EXCLUDING HOLIDAYS) <br /> 7. List up to ten addresses In the apace above. Select the type(s)of files from the Ilat 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 Indlcatad,pbove. Address <br /> ranges will not be accepted-for additional assistance with fila 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 Tor 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 condition as released will be reorganized by EHD stuff at the expanse of the applicant. <br /> Future file reviews by the some applicant may require a$125 deposit prior to review. <br /> EHD USE ONLY <br /> 7eee1ived Time Dec. 21. 2012 4: 09PM Na. 1952 anrt, <br />