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op❑ U/1"L11ZU14 1/:ZZ (FAX) P.001l001 <br /> ❑ <br /> D ❑ <br /> 13 a o ` �"6VE® EHD LOG NUMBER <br /> SAN COUNTY I� <br /> ❑ J .z <br /> JUL 2 2 2014 ENVIRONMENTAL HEALTH DEPARTMENT . <br /> _T 1868 East Hazelton Avenue, Stockton, CA 95205-6232 1 J' <br /> ENVIRONMENTALHEI&Phone: (209)468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> PERMITISERVICES <br /> PUBLIC RE r <br /> CORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnviron mental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton /CA /95215 <br /> PHONE (1): 209-467-1006 PHONE:(2): 209-623-7200 FACSIMILE: 209-467-11-18 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time: <br /> (please allow 10 business days from date of application submittal-"Tanretiva only-must be co rmed) <br /> CHECK BOX TO EXPEDITE f� IUEST-$125 FEE(CA R CHECK LY)-REOUEST 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 Unit 1 <br /> F2. <br /> 2360-k 1�.,��' i Trac tLo <br /> 301 East Grant Line Road 7 ,'' ' S` r1 9- unit2 TJ <br /> 3. 275 11-'61d,3 :fie 6 ( �� <br /> 4. j7;t a a _9 • 'i, asp :; 1 � /(� <br /> 4' . Unit 3 <br /> ,. <br /> 6. Holly ?1S I TracyZT✓ nit 4 <br /> West Grant Line Road TrarV <br /> 8 Unit 5 <br /> S. � � � ,.. iy'�t,Ca1.Ir-_ "{iY`�•l.f �L�CJ lel 'ftJr�. . <br /> 1, nit 6 <br /> Specific Date Range of Information Requested: From all to <br /> LS S ENVIRONMENTAL HEALTH DEPARTMENT-FILES pnlil ! <br /> ❑X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 0 SOLID WASTE FAcimivEHICLE <br /> X OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY QWASTETIRE $ OVI-11 v:1 <br /> )y�t' x UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL Q DAIRY * flow 4�'l <br /> ' :y�❑HAZARDOUS WASTE GENERATOR 4 O+^L�) %"-' ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> x TIERED PERMRTED FAGLITY k onL'�it I ❑MOTELMOTEL ❑PUNPERTRUCK/YARDICHEWCALTOILL <br /> ❑TATTOO/BODY PIERCING ❑POOL/SPA Q LAND USE APPLICATION SITES*baLy v t <br /> ❑ MEDICAL WASTE FACILITY -*❑COMPLAINT RECORDS*Only 0( ❑OTHER(PLEASE SPECIFY) <br /> WELLAND 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 flie type MUST be selected. Fax to 209 464-0138 or mail to the addme 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 flies 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 /> EHD 40-H 6H 1 <br /> Received Time Jul. 21, 2014 5: 10PM No. 6658 <br />