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02/0112013 15:51 Advanced GeoErviromental Inc. ('4X)209 4671118 P.0011001 <br /> ■ <br /> 0111111 <br /> ■ <br /> EHD LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 2Qephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally Colavita BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATEW'. Stockton / CA/95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application Submittal-;Tentat/ve only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUES 125 FEE(C HOR HE K ONLY)-REQUEST PROCESSED IN 3 BUSINES DAYS <br /> SIGNATURE OF APPLICANT DATE-2,21 <br /> Electronlc Information: ❑ Llst❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name city 0 Unit 1 <br /> 1. 2506 Maggio Circle Lodi <br /> 2. 2370 Maggio Clrlce Lodi ° 1 EllUnit ?? <br /> 3. 309 Driftwood Drive Lodi 4 �' <br /> • 3105 3. EI Dorado Street Stockton V3, �4 El <br /> Unit S <br /> 6• 3147 S. El Dorado Street Stockton <br /> S. 3134 Fairmont Avenue Stockton- EfUnit 4 <br /> 7• 08 Fairmont Aveswe ( Stockton <br /> l3. 1771 Unit 6 <br /> 9. cf <br /> 10. <br /> Unit s <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL.HEALTH DEPARTMi:NT FILES <br /> ❑X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSINo ABATEMENT Q SOLID WASTE FACILITYNEHICLE <br /> Q OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY x❑WASTE TIRE <br /> x❑UNDEROROUND TANK(MONITORINOIRENIOVAL) ❑Doo KENNEL DAIRY <br /> ❑X KAZARDOUS WASTE G3 NERATOA ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TATTOolBOD`(PIERCING ❑POOLISPA [fl LAND USE APPLICATION SITES <br /> ❑ MEDICALVIIAETE FACIL" l]COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND Sz!p nc PERMIT RECORDS ARe AVAILABLE POR RBVIEw: MONDAY-FRIDAY 8:00 AM-S:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to tan addresses In the apace above. Select the type(s)of files 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 mall to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addressee,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 fllo that 15 actively being worked on by EHD staff may not be Immediately available for review. A new appllCatlon may be <br /> submitted when the file ie 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$125 deposit prior to review. <br /> EHO WE ONLY <br /> LHO48.08 s11i11 <br /> Received Time Feb. 1. 2013 3:41PM No. 2214`i` <br />