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0210112013 15:51 Advanced GeoEnviromental Inc. (FAX)Z094671118 P.0011001 <br /> r. <br /> DATE RECEIVED EHD LOG NUMBER <br /> 1r fie" � �� SAN .�OAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> �,� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> FES 1- 2Te(ephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ENVI` ONS�SER�CE6L�Irk <br /> PSIR PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally Colavita BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 637 Shaw Road CITY/STATE/ZIP: Stockton / CA/ 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209-483-34()1 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: ASAp Time: <br /> (Please allow 10 bualneas days from data of application submittal-*Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUES 125 FEE(C H OR H= K ONLY)-REQUEST PROCESSED IN 3 BUSINES DAYS <br /> SIGNATURE OF APPLICANT DATE ' <br /> Electronic Information: ❑ List❑ Map—Descriptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Stroat# Streat Name City Unit 1 <br /> 1. 2506 Maggio Circle Lodi (yIi it 3Lb, m uX <br /> 2. 2370 Maggio Cirlce Lodi ❑lUUnit 2 <br /> "> 3. 309 Driftwood Drive Lodi L), <br /> Ir ,✓ <br /> '� 4. 3105 S. El Dorado Street Stockton P P l ' UyLI units <br /> 6. 3147 S. EI Dorado Street r Stockton jh.t Lip cwt , <br /> 6• 3134 Fairmont Avenue ) • Stockton NIAL El Unit <br /> 7• 3208 Fairmont Ave"ueStockton �b <br /> B. Unit 5 <br /> 9. <br /> 10. I Unit a <br /> Specific Date Range of Informatlon Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT PILES <br /> X❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT Q SOLID WASTE FACILITYNEH/ICLE <br /> ❑x OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY Q WASTE TIRE L} rlD/�uj11 3, <br /> ❑x UNDERGROUND TANK(MONITORING1RE IOVAL) = ❑DOG KENNEL O DAIRY <br /> ❑X HAZARDOUS WAST60ENERATOR, ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERN11TTED FACILITY- ❑MOTEL/HOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATToclBODY PIERCING ❑POOLI$PA LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY F1 COidPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILAOLE POR REVIEW: MON DAY-FRIDAY 6:00 AM-5:OOPM(EXCLUDIN(3 HOLIDAYS) <br /> 1. i,Ist up to ten addresses In the apace abovo. Select the type(s)of files from the list above by checking the appropriate <br /> box(ea). At least one file type MUST be selected. Fax to(209)484-0138 or mail W the addrQsa 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 procesaod the next business day. <br /> 2. The EHD will notify the applicant If any EHD flies exist. An appointment for review wl" <br /> days after receipt of application. The files will be held for a maximum of five buslnee <br /> should be schedulad accordingly.. To view the HMMP (Hazardous <br /> 3. A filo that Is actively being worked on by SHE)staff may not be Immediately available Materials Management Plan) go to the <br /> submitted when the file Is avallablo. following website: www.sjoesdata.org <br /> 4. Any file not returned In the same condition as released will be reorganized by EHD at <br /> Future flle reviews by the same applicant may require a$125 deposit prior to review. <br /> n 3 fl l 1� o <br /> e a a rtrti <br /> Received Time Feb. 1. 2013 3:47PM No. 2214 <br />