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UIiuorcur;) 1U.IU (I-AX) P.0011001 <br /> EI —� EHD LOG NUMBER <br /> � SAN JOAQUIN COUNTY <br /> JAN 0 6 2015 ENVIRONMENTAL EHp�k �TMENT <br /> 888EaHazelton HEALTH <br /> 95205-6232 <br /> ENVIRON►MENTALJOjUllons: (209) 468-3420 Fax, (209)464-0138 Web: www.SJ9ov_org/ehd <br /> PERWT/SER`JiCES <br /> � n <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Pebecca Natal BUSINESS/AGENCY: Advan - -d GeOFnvironm .ntaf <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton / CA/ 9521 <br /> PHONE (1): (209) 467-1006 PHONE (2): (209) 623-7200 FACSIMILE., (209) 467-1118 <br /> TENTATIVE'APPOINTMENT DATE:__ " Time: <br /> (Please ellow 10 business days from d to of application submittal-'Tantative only-must ba confirmed) <br /> ❑ CHECK BOX TO EXPEDITE $125 FEE(CASH K Y)- QUEST PROCESSED IN 3 BLPNEW DAYS <br /> SIGNATURE OF APPLICANT DATE f r <br /> Electronic Information: FVLlst❑Map--Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street a# Street Name City <br /> Unit 1 <br /> 11• 4236 S State Fit 99 E Frontage Rd Stockton I <br /> 2- 4236 Hi hwa 99 or S Hwy 99 Stockton unit2 <br /> 3• 4520 Hi hwa 99 Stockton <br /> 4• 9 Clark Dr Stockton <br /> .- Unit 3 <br /> 8. Unit 4 <br /> 7. <br /> 8. <br /> Unit 6 <br /> 9. <br /> 10. ( ❑Unit 6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSINOASATEMENT x❑SOLID WASTE FACILlTYNEHICLE ;VO <br /> x❑OTHERCLEANUPSITE(NON-LOP) ❑FOODFACILrrY ❑x WASTE TIRE <br /> x❑UNDERGROUND TANK(MONrropiNGIREMOVAL) ❑DOG KENNEL Q DAIRY <br /> x❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑x TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOGIBODY PIERCING ❑POOUSPA Q LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPIXIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. Uat wp to ten addresses In the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At feast one file type MUST be selected. Fax to(2091464-0138 or mail to the address Indicated abam Address <br /> ranges will not be accepted•for additional assistance with file addresses,contact the EHD. Appllcatlona 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 USE ONLY <br /> �He 4E06 <br /> x/1!1 t <br /> Received Time Jan. 8. 2015 10 :03AM No. 7865 <br />