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03/20/2015 11 :36 MAX) P .0011001 <br /> l ■ <br /> - DATE RECENED EHD.LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> MAR , 2015 ENVIRONMENTAL HEALTH DEPARTMENT l <br /> 1868 East Hazelton Avenue, Stockton , CA 95205-6232 <br /> _ I � d <br /> t .i , : . <br /> `r�f�i hone : (209) 468-3420 Fax: (209) 464-0138 Web : www. sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: RpbeoCa Natal BUSINEssIAoENCY; Advanced G®oEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP : Stockton / CA / 95215 <br /> PHONE (1 ), 209467- 1006 PHONE (2): 209-6237200 FACSIMILE : 209-467-1118 <br /> TENTATIVE" APPOINTMENT DATE: Time: <br /> (Please allow 40 business days from date of WI ti ubmtrial tativ only a must be confirmed) <br /> ❑ CHECK BOX TO ®(PED OU T - 125 FFE ( CK ON - RECU PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICA DATE <br /> Electronic Information: ❑ List ❑ Map — Descrlptlon : <br /> FILE ADDRESS END USE ONLY <br /> street 0 Street Name Cily : 'Un@ 1 <br /> 1 . <br /> 2. 4847 South 8orpod My ZLI Unit 2 <br /> 3. <br /> ,t <br /> 4. Unita - - <br /> b. 4800 South Airport Vft. Stockton <br /> 6. ` Unita <br /> 7W 1 <br /> e_ <br /> L***Address lines 4 - 7 : Only requesting to � 99t, u"N6 <br /> a. 1R� <br /> UST and LOP/ LUST files"* <br /> 90. try yl5 pUnitB <br /> Specific nate Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUNDTANK (UST) CLEANUP SrrE (LOP) ❑ HOUSING ABATEMENT ® SOUD WASTE FACILIiYNEHICLE <br /> ® OTHER CLEANUP SITE (NON•LOP) ® FOOD FACILITY ❑x WASTETiRE <br /> ❑x UNDERGROUND TANK (MONITORINGIRFMOVAL) ® 000 KENNEL ED DAIRY <br /> HAZARDOUSWASTE GENERATOR ® CHICKENRANCH ❑ WABTEWATERTREATWNT PLANT <br /> I] TIERED PERMITTED FACILITY ❑ MOTEIIHOTEL ❑ PUMPER TRUCK/YARDICHEMICALTOILEr8 <br /> ❑ TATTOW60UY PIERCING ® POOUSPA [ fl LAND U BE APPLICATION SITES <br /> ❑ lvwcALWASTEFAciuTY COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIIFj <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REWEW: MONDAY-FRIDAY 8 ; 00 AWS:DOPM (EXCLUDING HOLIDAYS) <br /> 1 . List up to ten addressee In the space above. Select the typals) of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax tAL(2Q2) 464-Ojai} or mall to the add ess indicated above. Address <br /> ranges will not be accepted . for additional assistance wth file addresses, contact the EMD. 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 appointment for review will be confirmed approximately tan (10) <br /> days after receipt of application. The files will be held for a maximum of five bunlnesm days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that to actively being worked on by EHD staff may not be Immediately avaliable for review. A new application may be <br /> submitted when the file Is available. <br /> 4. Any fife not returned In the same condition as released will be reorganized by EH® staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a $$125 deposit prior to mvlew. <br /> EHD use ONLY <br /> EHm asoma 019199 <br /> Received Time Mar . 20. 2015 11 : 33AM No - 8374 <br />