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I0'Advanced GeoEnviroiFax:(707)570-1461 To: 2094640138@rcfax.con Fax: +12094640138 Page 1 of 1 1112512014 11:30 <br /> nat)ATE RECEIVED EHD LOG NUMBER <br /> IN SAN JOAQUIN COUNTY <br /> iN :� ^_ r. • ENVIRONMENTAL HEALTH DEPARTMENT fax <br /> NN <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> awl ;I PLjlelephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENcY: Advanced Geo Environmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton / CA/95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: Ac,,Ap Time: <br /> (Please allow10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOXTO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)- REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 9 Street Name City LTJ Unit 1 <br /> 1. 724 E. Grant Line Road - Tracy LO <br /> 2. rf7 /Unit 2 <br /> 3. �7-I1I1� r I <br /> 4. /Unit 3 <br /> 5. <br /> 6. (Ti t /C/ Unit 4 <br /> 7. <br /> 8, Unit 5 <br /> 9. <br /> 10. Z/Unit 6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE <br /> X❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY WASTE TIRE <br /> n UNDERGROUND TANK(MOMTORINGIREMOvAL) ❑DOG KENNEL 0 DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> E TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA LAND USE APPLICATION SrrES <br /> ❑ MEDICAL WASTE FACILITY M COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-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)464-0138 or mail to the address indicated above. 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 /> EHID U'_;c 011,U <br /> Received Tiine Nov. 25. 2014 11 : 25AM No. 7611 811111 <br />