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0 AL 0210112013 15:51 Advanced GeoEnviromental Inc. (FAX)209 4671118 P.0011001 DATE RECEIVED EHD LOG NUMBER SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT r 2� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 ephone: (209) 468-3420 Fax: (209) 464-0138 Web www.sjgov.org/ehd s Ny�tv'T ' A0 PUBLIC RECORDS RELEASE APPLICATION APPLICANT: Ally Colavita BUSINESS/AGENCY: Advanced Geo Environmental ADDRESS: 837 Shaw Road CITY/STATE012: Stockton / CA / 95215 PHONE 0). 209-467-1006 PHONE (2): 209-483-3401 FACSIMILE: 209-467-1118 TENTAT/VE*APPOINTMENT DATE: ASAp Time: (Please allow 10 busineas days from date of application submittal - *Tentative only - must be confirmed) ❑ CHECK BOX TO EXPEDITE REQUES - 12/5 FEE: (C H 0 HE K ONLY) -REQUEST PROCESSED IN 3 BUSINES DAYS SIGNATURE OF APPLICANT L��/ "�- DATE 'Z- 1 Electronic informatlon: ❑ List ❑ Map —Description: to ENVIRONMENTAL. HEALTH DEPARTMENT FILES ❑X UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑x OTHER CLEANUP SITE (NON•Lt3P)❑ FOOD FACILITY Q SOLID WASTE FACILITYNEHICLE 0 WASTE TIRi: ❑x UNDEROROUND TANK (MONITORINGIREMOVA47� ❑ DOG KENNELx❑ DAIRY ❑X HAZARDOUS WASTE123ENERATOR,-k ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT ❑x TIERED PERMITTED FACILITY ❑ MOTELMOTEL ❑ PUMPER TRUCK/YARDiCHEMICALTOILETS FILE ADDRESS d LAND USE APPLICATION SITES EHD USE ONLY Unit 1 WELL AND SEPTIC PERMIT RECORDS ARC AVAILAGLB FOR Review: MONDAY -FRIDAY 6:00 AM-5:00PM (EXCLUDIN(3 HOLIDAYS) Street a Street Name city 1. 2506 Maggio Circle Lodi (jn it 3r' , A)=% u'� Unit 2. 2370 Magglo Clrlea Lodi 3. 309 Driftwood Drlve Lodi �' P'k� II S; U'[]U'nit3 4. 3105 S. EI Dorado Street Stockton 5- 3147 S. El Dorado Street Stockton JA' (Oz G ticcwt N / D Unit 8- 3134 Fairmont Avenuet',% Stockton T• Stockton y? El Unit 5 8. 8. Ef Unit tt 10. Specific Date Range of Information Requested: From all to ENVIRONMENTAL. HEALTH DEPARTMENT FILES ❑X UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑x OTHER CLEANUP SITE (NON•Lt3P)❑ FOOD FACILITY Q SOLID WASTE FACILITYNEHICLE 0 WASTE TIRi: ❑x UNDEROROUND TANK (MONITORINGIREMOVA47� ❑ DOG KENNELx❑ DAIRY ❑X HAZARDOUS WASTE123ENERATOR,-k ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT ❑x TIERED PERMITTED FACILITY ❑ MOTELMOTEL ❑ PUMPER TRUCK/YARDiCHEMICALTOILETS ❑ TATTOO/BORT PIERCING ❑ POOLISPA d LAND USE APPLICATION SITES ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARC AVAILAGLB FOR Review: MONDAY -FRIDAY 6:00 AM-5:00PM (EXCLUDIN(3 HOLIDAYS) 1. List up to tan addresses In the $pace above. Select the type(s) of files from the list above by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209)484-0138 or mall to the addreaa Indicated above. Addrous range will not be accepted - for additional asalstance with file addresses, contact the EHD. Applications received atter 3:00 pm will be processed the next business day. 2. The EHD will notify the applicant If any EHD files exist. An appointment for review wU' `- - days after receipt of application. The files will be held for a maximum of five buelnea: To view the HMMP (Hazardous should be scheduled accordingly. 3. A file that Is actively being worked on by EHD staff may not be Immediately available Materials Management Plan) go to the submitted when the file Is available. following website: www.sjoesdata.org 4. Any file not returned In the same condition as released will be reorganlxed by EHD at Future file reviews by the same aoDllcant may reoulre a $125 deposit prior to review. Received Time Feb. 1, 2013 3:47PM No, 2214 1' f P