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1 0911612014 16:27 (F,' ) P.00IIUUT <br /> i� <br /> EHD LOG NUMBER <br /> I, JII�9VEU SAN .IOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SEP :t 6 2014 1868 East Hazelton Avenue, Stockton, CA 9520"232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd 1s, <br /> ENVIR0NME9TAL HEATH <br /> PL—RMiTISFRUICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal ®USINESSIAQENcY: 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: ASAP Time: <br /> (Please allow 10 busineas days from date of application submittal-'rentely only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$126 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3pBUSINESS DAYS <br /> SIGNATURE OF APPLICANT 214byz4l� DATE <br /> Electronic Information: ❑ List❑ Map—Deacrlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> street 0 Street Name J City --❑Unit I <br /> 1. <br /> �H <br /> 2. 17600 Shi Parkway Lathrop <br /> 11't18 Unit , <br /> x <br /> 3. 17700 Shidele Parkvvay"Q "1� � Lathrop %^- <br /> a Itq t"` .UA3 <br /> 4- <br /> 2427 Yosemite AvenueVic/, . La hrD <br /> 5• 2112 ``` )-,.East Louise Avenue `� t L'- hro <br /> 7, <br /> g, Unit 5 <br /> 9. <br /> 1 O. O-ufiii s <br /> Specific Data Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 0 UNDERGROUND TANK(UST)CLEANUPSITE(LOP) ❑HOUSING ABATEMENT Q SOLID WASTE FACILIYNEHICLE <br /> ❑x OTHER C LEANUP SITE(NON-LOP) ❑FOODFACILITY WASTE TIRE <br /> R7 UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑X DAIRY <br /> O HAZARDOUS WASTE GENERATOR El CHICKEN RANCH ❑WASTEWATER TREATMENT PUW <br /> ❑X TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPERTRUCK/YAPWCHEMICALTOILETS <br /> ❑TATrouBODY PIERCING ❑POOUSPA I]LAND U SE APPLICATION SITES <br /> ❑ MEDICALWASTEFACILITY QCOMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERNUT RECORDS ARE AVAILABLE FOR REVIEW., MONDAY-FRIDAY 8:00AM-S:OOPM EXCLUDING HOLIDAYS) <br /> 1. List un to ten addresses In the space above. Select the 4w(5)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 1208)484-0138 or ma11J Address <br /> ranges will not be accepted-for additional asslstanee with file illea,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 flies 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 rmw application may be <br /> submitted when the fila Is available. <br /> 4, Any Flls not returned In the some 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 /> FNO USE ONLY <br /> —O 41145 x/1/11 <br /> ReCeaiv e d Tim& Sep. 16, 2014 4: 15PM No. 7070;\' <br />