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Jan. 24, 2008 4.53PM ,aced G e o E n v i r o n m e n t a I No. 0926 P 1/2 <br />DATE RECEIVED EHD LOG NUMBER <br />L� 1 j (ice iii = SAN .JOAQUIN COUNTY <br />Ij'J ��� IQ) ENVIRONMENTAL HEALTH DEPARTMENT I c Z <br />600 East Main Street, Stockton, CA 9202-3029 <br />INI '�W' a' 2003 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.rN <br />sjgov. <br />PPUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Ally colavita BUSINESS/AGENCY: Advanced GeoEnvarcn.mental <br />ADDRESS: 837 Shaw Road Stockton CA <br />PHONE (1); 209 467-1C06 PHONE (2)i 209 483-3401 FACSIMILE' 209 467-1118 <br />TENTATIVE" APPOINTMENT DATE; Time, <br />(PIea69 allow 10 buslness days from date of application submittal -'Tentative only - must be confirmed) <br />0 CHECK BOX TO EXPEDITE REQU 31T - $98.00 FEE A OR CHECK ONLY) -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT / DATE <br />Electronic Information: ❑ List ❑ Map — Description: <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />OTHER CLEANUP SITE (NON -LOP) <br />❑ HOUSING ABATEMENT <br />11FOOD FACILITY <br />FILE ADDRESS <br />Street NarnA City <br />EHD USE ONLY <br />❑ Unit 1 <br />;kNi U <br />Street ;a <br />1. <br />2. <br />501 <br />Wet; 4Ckarttr Wet,S4v <br />We -s4 C <br />! 5;k! <br />ElUnit2 <br />Z <br />3. <br />{a �t <br />cr• L -_r. w Sic-r!�� :._.. <br />4. <br />5. <br />41��4 <br />1Z nZNf <br />sow ersLlfn' e--- 0 <br />v v Dri,,P_ <br />Unit 3 <br />Unit 4 <br />8. <br />l�I'�O( <br />7. <br />S VK� GYs hi n �y1 b i <br />-`-- <br />welg� I, <br />❑ unit s <br />I'1Z, i0.5 r <br />8. <br />1 `I <br />9. <br />13f d <br />VV isC-F <br />Unit B <br />H2 IU5 A <br />10.Liv <br />f 4t, We I <br />Specific Date Range of Information Requested: From <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENTFILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />OTHER CLEANUP SITE (NON -LOP) <br />❑ HOUSING ABATEMENT <br />11FOOD FACILITY <br />OLID WASTE FACILITYfVEHICLE <br />WASTE TIRE <br />UNDERGROUND TANK (MONITORING/REMOVAL) v/ <br />13DOG KENNEL <br />❑ AIRY <br />HAZARDOUS WASTE GENERATOR-/ <br />❑ CHICKEN RANCH <br />❑ WASTEWATER TREATMENT PLANT <br />❑ TIERED PERMITTED FACILITY <br />❑ MOTELIHOTEL <br />❑ PUMPERTRUCK/YARD/CHEM TOILETS <br />❑ TATTOOIBODY PIERCING <br />© POOLISPA <br />❑ LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY <br />0 OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY 8:00 AM-5:00pM - EXCLUDING HOLIDAYS. <br />1, List up to ten addresses In the space above. Select the type(s) of flies from the list above by checking the appropriate <br />box(as). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the address Indicated above. Address <br />ranges will not be accepted — for additional assistance with file addresses, 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 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 $98.00 deposit prior to review. <br />EHD USE ONLY <br />