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Nov 5 2007 3:43PM Advanced Geo Environmental No. 022'HDUg'_ .'JMBIR <br /> DATE _;".�. SAN JOAQUIN COUNTY <br /> € <br /> E l0 V�� E� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1J 600 East Main Street,' Stockton, CA 95202 <br /> Telephone: (209)468-3420 Fax:: (209)464-0138 Web. ww'w.s�gov.a le <br /> �a47 <br /> 5 <br /> AL H PUBLIC RECORDS RELEASE APPLICATION <br /> carranza <br /> BUS[NESSIAGENCY: Advanced GecEnvironmental <br /> S <br /> ADDi2-SS: 897 Shaw Rd., Stockton, CA <br /> PHONE(1): 009-467-1006 pHONE(Z); 209-609-4067 FACSIMILE: 209-467-1110 <br /> TENTATIVE"APPOINTMENT DATE:�ASAP - _-_..._-.... Time: anytime _ <br /> (Please allow 10 business days from date of application submittal-'Tentative only•must be confirmed) <br /> HECK BOX TO EXPEDITE REQUEST-$95.00 FEE(CASH OR CHECK ONLY),REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic IIIfOrmation: ❑List❑ Map—Description: <br /> _ _FILE ADDRESS EHD USE ONLY <br /> Street# - Street Name City 1- r I Unit 1 <br /> 702' i south Aurora Street Stockton I1. <br /> F2i 510 East Magnolia Street. 5tocktan Unit 2. <br /> 3. 1252 North, -StanialaW Street Stockton <br /> 4. 1212 North California Street Stockton 001r,U 10 \� <br /> 1800 Califonia Street Stockt:wr <br /> a t1nit4:' ? <br /> 6. 7 ! _ NGrv�� Stockton ° <br /> Al E _ <br /> 7. <br /> Unit 6 i <br /> Specific Data Range of Information Requested: from to <br /> ENVIRONMENTAL HEALT DEPARTMENT FILES <br /> UNDERGROUND AV <br /> TANK(UST)CLEANUP SfTE(LOP) 13HOUSING ASATEMt_NT J>dSOLID WASTE l AGIL TL <br /> � <br /> TMER CLEANUP SITE(NON-SOF') ❑FOOD FACILITY ❑WASTE TIRE i <br /> D.ERGROUNo TANK(MONITORINGIREMoYAL) ❑Doo kFNNEL C7 VAIRY <br /> NA7ARwus WASTE GENERATOR CHICKEN RANCH ❑WASTEWATER TPrAYMCNT PLANT <br /> ❑TIERED FERMITfED FACILITY E7 MOTELIHoTEL 0 PUMPZR TRUCKrYARDICHEM TOILETS s <br /> i7 TATTOOIBoDY PIERCING ❑POOi1SPA ❑ LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY Cl OTHER(PLEASE SPECIFY)—_ <br /> WELL AND SEPTIC"PERMI7 RECORDS ARE AVAiLASLt FOR REVIEW - MONPAY-FRIDAY 8:00 AM-5:00PM EXCLUDING HOLIDAYS. <br /> 1. List tip to tan 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 fife type MUST be selected. Fax to(209)464-01.38 or mail to the address indicated above, Address <br /> ranges will not be accepted—for additional assistance with file addresses,contact the EHD.Appllcaflons received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will not(fythe applicant if any EHL)files exist. An appointment For review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be hold for a maximum of five business days for review. Appointments i <br /> should be scheduled accordingly. ! <br /> 3. A file that Is actively being wonted on by END 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 raarganized by EHD staff at the expense of the applicant. <br /> Future.file reviews by the same applicant may requiro a$95,00 deposit prior to review. <br /> EHD USE ONLY <br /> 004" 511$2Qa7 <br /> 1 <br />