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r 1110512012 10:35 Advanced Gec mental Inc. ')2094671118 P.0011001 <br /> ■ <br /> ■ <br /> r 'V SAN JOAQUIN COU EHD LOG NUMBER <br /> E E D �� . <br /> ENVIRONMENTAL HEALTH C, �TE <br /> NOV Q 5 2012 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209 4t <br /> 1W Web:www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES PUBLIC RECOkbS RELEASE APPLICATION <br /> APPLICANT: Ally Colavita and William Little BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/3TATEIZIP: Stockton /CA/ 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE, ASAP Time: <br /> (Please allow 10 business days from date of application submittal-Iren(a&o only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CAS OR CH5CK O Y)-REQUEST PROCESSED IN 3 BUST ESS AYS <br /> SIGNATURE OF APPLICANT DATE I S 1 <br /> Electronic information: ❑List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name city <br /> unit 1 <br /> 7- 3200 Newton Road Stockton — <br /> 2. 3300 Newton Road Stockton E]Unit <br /> 3, 3437 Newton Road Stockton <br /> 4. 3535 Cherokee Road Stockton <br /> /0 unit 3 <br /> 6. 3625 Cherokee Road Stockton <br /> S. 3635 Cherokee Road Stockton [7'Unit 4 <br /> 7. 3645 Cherokee Road Stockton I_ <br /> 8. 3655 Cherokee Road Stockton �T 6�J (i�( units <br /> 9. 3661 Cherokee Road Stockton <br /> 10. 3665 Cherokee Road Stockton Y I ( unite <br /> Specific Date Range of Information Requested: From 2010 to 2012-currents <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑X SOLID WASTE FACILITYNEHICLE AI6 SGv <br /> X1 OTHER CLEANUP SITE,(NON-LOP) ❑F000 FACILITY Q WASTE TIRE <br /> XQ UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL 0 DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WA9TEWATERTREATNENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPERTRUCKIYARDICHEMicAL TOILETS <br /> ❑TATTOOI9oDY PIERCING ❑POOLISPA Q LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:00PM(EXCLUDiNO HOLIDAYS) <br /> 1. List up to ten addressee In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least ona file type MUST be selected. Fax to(209)464-0138 or mall to the address Indicated above. Addreas <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 131-10 files exist. An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of application. The flies will be held for a maximum of five business days for review. Appolntmente <br /> should be scheduled accordingly. <br /> 3. A file 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 flip 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 Game applicant may require a$126 deposit prior to review. <br /> EHD USE ONLY <br /> GH D 40.05 u1n1 <br /> Received Time Nov. 5. 2012 10:31AM No. 1554 <br />