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Q o U/1"L1/ZU14 1/:11 (FAX) P.001/001 <br /> 13 11 <br /> 13 <br /> on R C5-- RV ED EHD LOG NUMBER <br /> 13 0 SAN JOAQUIN COUNTY l; <br /> ❑ ENVIRONMENTAL HEALTH DEPARTMENT CJ <br /> JUL 2 2 201 .�, • � <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 ` <br /> ENVIRONMENTALHEXOMPhone: (209)468-3420 Fax: (209) 464-0138 Web: www.s,igov.org/ehd <br /> PERMIT/SERVICES <br /> F7 p ! <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATEIZIP: Stockton /CA 195215 <br /> PHONE (1): 209-467-1006 PHONE(2):_209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: ASAp Time: <br /> (Please allow 10 business days from date of appllcatlon submittal-•Tanfativs only-must be co rmed) <br /> CHECK BOX TO EXPEDITE�UEST-$125 FEE(CA R CHECK LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT i DATE <br /> Electronic Information: ❑List❑ Map—description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Narno City Unft 1 <br /> 1. 2360-C i R �' � . , Trac ICO <br /> 2. 3 1 East Grant Line Road ''' " 5` C1�� unitz � <br /> 3. 275 East Gran load I-VIs.3 )e Tracy <br /> 4. /'l LI 1, '�'a 'I• Y r -� �. racy ,C%j'Unft 3 <br /> 5. -450- nm ROA Tracy <br /> 6. 2421 Holly prive ?5 , ._-3 9_ 9 nIt 4 <br /> West Grant Line Road_ -gel' Tran� <br /> 8. 0 Unit 5 <br /> M1 t r1r <br /> 10. (— ii,) �j t ��:�Llt 4� Z.J bJITI 1 nit6 <br /> STIflc Date Range of Information Requested: From ( / to <br /> C.S S ENVIRONMENTAL HEALTH DEPARTMENT-FILES Only I <br /> "X UNDERGROUND TANK(UST)CLEANUP SiTE(LOP) ❑HOUSING ABATEMENT SOLID WASTE FACIUiYNEHiCLE <br /> �y �x OTHER CLEANUP SITE(NON-LOP) ❑FOOD FAGLrrY Q WASTETIRE <br /> I X I UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL -)�❑X DAIRY fMW 1 <br /> �❑HAZARDOUS WASTE GENERATOR 4 Pr-� ❑CHICKEN RANCH ©WASTEWATER TREATMENT PLANT <br /> X TIERED PERMITTED FACILrIY k anl�3r I ❑MOTELIHOTEL ❑PUNIPERTRUCK/YARdCHEM1CALT01LET5 <br /> TATTOO/BODYPIERCING ❑POOL/SPA 4[fl LAND USE APPLICATION SITES*bAl) l <br /> ❑ MEDICAL WASTE FACILITY ❑COMPLAINT R ECORDS R Only 0( ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AMi 5,00PM(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 to 209 464-0136 or mail to thea 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 files 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 Is 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$125 deposit prior to review. , <br /> T <br /> 1 � 1 <br /> EHD 4" Will <br /> Received Time Jul- 21. 2014 5: 10PM No. 6658 <br />