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■ <br /> 12/21/2012 16:12 Advanced GeoEnviromental Inc. (TAX)2094671118 P.001/001 <br /> N <br /> ECEIVED EHD LOO NUMBER <br /> YC�GE���� SAN .IOAQUINCOUNTY <br /> 1 i ENVIRONMENTAL HEALTH DEPARTMENT <br /> DEC 2 1 2Ni 1868 East Hazelton Avenue, Stockton, CA 95205-6232 /7 <br /> elephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd / <br /> ENVIRONMENTAL HEALTH <br /> PERMF'SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally Colavita BUSINESSIAGENCY: Advanced GeDEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/sTATE1zIP: Stockton / CA/ 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-muat be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQU T- 125 FE CAS R HECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 12-LZ 1 1,2- <br /> Electronic Information: ❑ List❑ Map— Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Stroma Street Nems City Unit 1 <br /> j� <br /> 1. 18754 East State Route 26 Linden <br /> 2. Unit 2 <br /> 3. <br /> 4. /ZUnit <br /> S. <br /> S• Unit <br /> 7. <br /> B• L1 units <br /> 9. <br /> 10. nit e <br /> Specific Data Range of Information Requested: From all to OIF <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q UNDERGROUND TANK(UST)CLEANUP 81TE(LOP) ❑HOUSING ABATEMENT E SOLID WASTE FACILITY/VEHICLE <br /> x❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY Z WASTE TIRE <br /> x❑UNDERGROUND TANK(MONiTORINoIREMOVAL) ❑DOG KENNEL F DAIRY <br /> Q HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑ <br /> TATTOO/BODY PIERCING ❑POOUSPA Q LAND USE APPLICATION SITES <br /> [7 MEDICAL WASTE FACILrrY I]COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:OOPM(EXCLUDING HOLIDAYS) <br /> 1, List yo to ten addresses In the space above. Select the type(s)of files from the flet above by checking the appropriate <br /> box(es). At least one file type MUST be Selected. Fax to (208)484-0138 or mall to the address IndIegtp4,R ova. Address <br /> ranges will not be accepted-for additional assistance with fila addresaos,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 <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 filo 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 some applicant may require a$125 deposit prior to review. <br /> END USE ONLY <br /> Received Time Dec. 21. 2012 4: 09PM No. 1952 ennl <br />