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Jan. 24, 2008 4: 53PM Adyanced CeoEnvi rovental No- 0926 P. 2/2 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ,1 F�(`i i{`` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> la j J <br /> "CIO, Telephone: (209)468-3420 liar: (209)464-0138 Web:wYvw.sjgo .or <br /> E���,r , ;1.. } {iE; i:i PUBLIC RECORDS RELEASE APPLICATIO <br /> A01206ANT: Ally Colavita BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road Stockton, CA <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-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUT-$98 0 F CASH CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT C� f� Y " --- DATE <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name `� JClty El unit 1 <br /> 1. I nC &Vs N r n � ---- I�C-K�T�c -. <br /> 2. <br /> 3. 1145 C <br /> I ' <br /> 4. I1'2o •.r k / x Unit3 <br /> 5 <br /> -- .............— .__... Unit 4l <br /> 6. <br /> 7. <br /> ❑ unit 5 <br /> 6. <br /> 9. <br /> Unit 6 <br /> 10. <br /> Specific Date Range of Information Roquested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ElHOUSING A13ATEMENT OLID WASTE FACILITY/VEHICLE <br /> �THER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ASTE LYRE <br /> NOERGROUNDTANK(MONITORING/REMOVAL) Cl DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 11 MOTELJHOTEL ❑PUMPER TRUCK/YARDICHEM TOILETS <br /> d TATTOO/DODY PIERCING 11 POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY d OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-6:00aM - EXCLUDING HOLIDAYS. <br /> 1. 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. Fax t0(2091464-0138 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 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 file that i8 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 applicant. <br /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> END 46-06 WEB 8/012007 <br />