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0711212013 10:59 • ) P.0011001 <br /> EHD LOO NUMBER <br /> ■.oA v ;' SAN JOAQUIN COUNTY <br /> �■ ,7, l ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUL .12 2013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www,sjgov.org/ehd <br /> EtWii?l j,4MENTKLoEAI-TI-I <br /> pE; AI�1 ILF�1iCES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally Colavita BUSiNESSIAGENCY; Advanced GeoEnviron mental <br /> ADDRESS: 837 Shaw Road CiTYISTATEIZIP: Stockton/ CA / 95215 <br /> PHONE(1): 2Q9-467-1006 PHONE(2): 209-483-3401 FACSIMILE: 209-407-1118 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal-`Tentauve only-must be confirmed) <br /> ❑ CHECK BOX 1"0 EXPEDITE REQUEST- 125 FEE(C O H K ONLY)-REQUI_ST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT. DATE 7/12/13 <br /> Electronlc Information: ❑ List❑ Map—Descrlption: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name cls+ Unit 1 <br /> 1• 20500 HOLLY DRIVE--Qs - TRACY 3524 <br /> 2. 9409 WEST AR OR AYgNUg ; TRACY Lys N ElUnit2 <br /> 3. <br /> 4. El <br /> Unita <br /> 6. =S i�— <br /> a. Untt4 <br /> 7. <br /> 0 <br /> 9. <br /> 10. p-rl�nit B <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING Ai3ATEMENT ❑80LID WASTE FACiLITYNEHiCLE <br /> x❑OTHER CLEANUPSITE(NON-LOP) ❑FOOD FACILITY ❑X WASTETIRE <br /> Q UNDERGROUND TANK(MONiTOR1NGIREMOvAL) ❑Doa KENNEL Q DAIRY <br /> Q HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ®WASTEWATER TREATMENT PLANT <br /> d TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDiCHEMICAL TOILETS <br /> ❑TATToo/SoDY PIERCING ❑POOLISPA LAND USE APPLICATION SiTE$ <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHEit(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:00PM(EXCLUDING HOLIDAYS) <br /> 1. List un to ten addresses in the apace above. Select the type(a)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. rex to(209)484.0198 or mall to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addreaa®a,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 appolntment for review will be confirmed approximately ten (10) <br /> days after receipt of application. The flies will be held for a maximum of five buslneaa days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A fife that Is actively being worked on by EHD staff may not be Immediately available for review. A new application may be <br /> aubmltted when the file Is-available. <br /> 4. Any file not returned In the same condition as released will be reorganized by END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$126 depo9lt prior to review. <br /> END USE;ONLY <br /> R a c e i7 e d T i rn e Jul, 12. 2013 10: 5 4 AM No. 3577 <br />