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RECEI" 4 Advanced GeoEnvironmenta1 No. 2725EHr 1NUMBER <br /> VED SAN JOAQUIN COUNTY <br /> ENVVI ONMENTAL HEALTH DEPARTMENT Q <br /> JUL 2 3 2008 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.Sjgo /e11Y <br /> SAN JOA(.tUl <br /> N COUNTY 1 <br /> ENVIRONMENTALRTMFNT PUBLIC RECORDS RELEASE APPLICATION" <br /> LIQ NVI.aPPA <br /> APPLICANT: Robert Marty <br /> BUSINESS/AGENCY: Advanced GeoEnvirpnmental, in <br /> ADDRESS: 837 Shaw Road, Stockton, CA <br /> PHONE(t): 209-467-1006 PHONE(2): 209-323-6499 FACSIMILE: 209-467.1116 <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from data of application submittal-"Tentadve only-must be confirmed) <br /> EM CHECK HOX TO EXPEDITE RE ST- (CASH O K ONLY -REQUEST PROCESSED IN 3 BUSINEF DAYS <br /> SIGNATURE OF APPLICANT / - DATE <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS... ` ; _ ONLY <br /> Street N Street Name city __ 6 „�_y d Unit 1 <br /> 1. Stockton 5 <br /> 1617 west Fremont Street 3 <br /> ...... .... ._ y <br /> 2 612 North Buena Vista Stockton - 9.j() �SoZfo �� f71 ❑ Unit <br /> 17 3. 1414 West Fremonc Street Stockton A).:1r 1.1110 <br /> 4, 601 Bash Main street Stockton 35 .. 7' Unita .� <br /> 0001f <br /> Unit 4 <br /> 7. - <br /> 8 -- <br /> El 5 <br /> 9. <br /> 10 -- - - Ll Unit 6 <br /> Specific Date Range of Information Requested: From All to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> r <br /> ® UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT ❑ SOLID WASTE FACILITY/VEHICLE � <br /> IM OTHER CLEANUP SITE(NON-LOP) 0 FOOo FACILITY O WASTE TIRE 5 <br /> 0 UNDERGROUND TANK(MONITORING/REMOVAL) 0 DOG KENNEL 0 DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTELMOTEL 0 PUMPER TRUCK/YARD/CHEM TOILETS <br /> 0 TATTOO/BODY PIERCING 0 POOLISPA 0 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL ANDSEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:0OAM-6:00Pm - EXCLUDING HOLIDAYS <br /> 1. List up to tan addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). 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$96.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD U49 WEB &18/2007 <br />