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w 01/2012015 11:03 • ) P.001/001 <br /> I� <br /> �M OATE RECE �� EHO LOG NUMBER <br /> SAN JOAQUIN COUNTY I <br /> V� %%\b ENVIRONMENTAL HEALTH DEPARTMENT �'/� <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 %01 <br /> V <br /> one: (209) 468-3420 Fax: (209)464-6138 Web: WWW.sjgov.org/ehd <br /> G <br /> E ` PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESSIAGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATE/ZIP: Stockton/CA/95215 <br /> PHONE (1): 209-467-1006 PHONE (2): 208-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal••Tenradve only-must bs confirmed) - <br /> ❑ CHECK BOX TO EXPEDITE R E T-$125 FEE( C CK LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1/20/2015 <br /> Electronic Information: ❑List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street& Street Name City EfUnIti <br /> 1. 3808 West Lane Stockton I <br /> 2, 4040 West Lane Stockton O'Unita <br /> 3, 1146 Enterprise Street Stockton <br /> �✓" <br /> a ,7� I unit <br /> 6. /Z/r,( / I6nit 4 <br /> 7. <br /> 8. <br /> - <br /> Unke <br /> 9, <br /> 10. •Unit 66 <br /> Specific Data Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> I1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING A13ATEMENT Z SOLIDWASTE FACIUTYIVEHICLE <br /> El OTHERCLEANUP 61TE(NON•LOP) El FOOD FACILITY ❑X WASTE TIRE <br /> �UNDERGROUND TANK(MONITORING/REMOVAL) ED DOG KENNEL ❑x DARY <br /> x❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑X TIERED PERMTrED FACILITY ❑MOTELIHOTEL ❑PUMPERTRUCHIYAROICHEMCALTO)LET$ <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA Q LAND USE APPLICATION SRE6 <br /> ❑ MEDICAL WASTE FACILITY NCOMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW:• MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDIN(3 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(ea). At least one file type MUST be selected, Fax to(2091464-0138 or mail 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 appl leant N any EHD filen exist An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will behold for a maximum of five business days for review. Appolrrtmerda <br /> should be scheduled accordingly. <br /> 3. A Nle that is actively being worked on by EHD staff may not be immediately available for review. A now 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$125 deposit prior to review. <br /> E'HO USE ONLY <br /> EHDAR-0 yTryT <br /> Received Time Jan. 20, 2015 10:54AM No. 7929 <br />