Laserfiche WebLink
01/05/2005 09:56 20946717 AGE STOCKTON PAGE 01/0 <br /> /� kHU Llx7 NUNIPcn <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> IAN 0 5 ?005 304 E Weber Ave P Floor Stockton,CA 95205 <br /> QU1N CWY468-3420 Fax: (209)464-0138 Wcb:ww�v.co.san-joaqwn-calus/chd <br /> ENV1R MANTAL HEATH DEPT <br /> JC <br /> PUBLIC RECORDS RELEASE A.PPL>iCArI'IQI`T <br /> BUSINESSIAGENCY: Advanced GeoEnvironmental, Inc. <br /> APPLICANT: tfJ7a21l/lQ- Q!> ' <br /> ADDRESS:_837 Shaw Road Stockton CA 95215 0^ <br /> 41 <br /> PHONE:_ <br /> 209-467-100, FACSIMI <br /> elI'(TA IVE"APPOINTMENT DATE: Q I I lme: <br /> rl R <br /> � (Please allow 10 business days from date Of application submittal) <br /> i G ECK BOX TO EXPEDITE REQUES 93.00 FEE R1nQUEST ROCESSED IN 3 BUSINESS DAYS <br /> 7 �S7 <br /> SIGNATURE OF APPLICANT DATE <br /> Department Use Only <br /> A� <br /> UNIT <br /> FILE AD RESS <br /> rte �o p Unit 1 <br /> r� t. street ' <br /> f l lU� 2. Strool l-7 C J�� �yL(G <br /> �, iiu� 3 suet 235 (illA � C 5 �A�� [J ❑ Unit <br /> 4. Strxt <br /> �' C, \� <br /> Sr c U n i �. <br /> L(7 S. Blraai <br /> t 0 Street �� �• � ' C <br /> Unit 4 <br /> �. sveat <br /> 2 <br /> e. t C2 <br /> rwr 1 P <br /> 9. Slmel C JAN �111dL`It FJ <br /> C' CC77 1 ' <br /> 10. Stroet y1 . <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES,: ?�) <br /> M UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑ SOL•1D lLYj4STE FACILITY <br /> O FOOD FACILITY ❑ SOLID WASTE VEHICLES <br /> ID OTHER CLEANUP SITE(NON-LOP) ❑ DAIRY i< <br /> M UNDERGROUND TANK(MONITORING/REMOVAL) O DOG KENNEL ❑ DAIRY <br /> TREATMENT PLANT <br /> 0 HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH v <br /> ❑ TIERED PERMITTED FACILITY 0 MOTEVHOTEL ❑ PUMPER TRUCKlYARD/CHEM TOILETS I <br /> O TATTOO/BODY IIIERCING�a., yk 0 POOLISPA ❑ LAND USE APPLICATION SITES 1L:0 <br /> O MEDICAL WASTE FA p OTHER(PLEASE SPECIFY) <br /> s of rites from the list above by checking <br /> 1. LisiL_(i� to 51"$ resses In the space above. Select the type(S) <br /> thi& `pprdpr ate box(es). At least one file type MUST be selected. Fax to 209 464-0138 or mail tot e <br /> ad reA 1131irated above. <br /> 2, EHD will notify the applicant if any EHD files exls`; An appointment for review w111 be confirmed <br /> approximately five business d ys but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be 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 <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review, <br /> 5. "TENTATIVE appointment dates must be confirmed with END staff. <br /> 6. Applications received after 3400 pm will be processed the next business day. <br /> CONF1R1 P-D'APpatNTM8Nf 0ATeF_'" <br /> :f <br /> - <br /> 'INITIALS <br /> YE . . <br /> REVIEWED_: <br /> _REVIEtiV17ATE <br /> EHD 4s-02•00e <br /> erenoos <br />