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ill 0112212015 16:07 V) P.0011001 <br /> ■ <br /> o DATE RECEIVED EHD LOG NUMBER <br /> R <br /> SAN JOAQUIN COUNTY <br /> RFC-) I ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> JAN 2 3 ZOTFelephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd to 6V <br /> ENVIRONMENTAL HEALTH �No <br /> ILE,., Conj_ <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATIO <br /> APPLICANT: RebeCCa Natal BUSINESS/AGENCY:AdvancedQeoEnviron mental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton / CA/ 95215 <br /> PHONE (1): 209-467-1006 PHONE(2):209-623-7200 FACSIMILE: 209-467-1115 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of appllcatlon submittal-"Tenretive only-must be conflrmed) <br /> ❑ CHECK BOX TO EXPEDITE REQ $125 FEE( CHC -REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANTDATE �.�?� •�,� <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City Unit 1 <br /> 1. 1947 East Channel S reet {� Stockton \ <br /> C4.3X <br /> Min r Av UO 4OC'4r� 'eco , UnIt2 <br /> 2150 East Fremont Street Stockton <br /> 103 North E Street Stockton Unit 3 <br /> r <br /> 36 D Street Stockton <br /> 6 124 North E Street k�� Stockton E)'unit4 <br /> 7• 11 South A Street ' Stockton <br /> El. 1750 East Channel Street Stockton Q Unit <br /> 10. q '� C` Unit 6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 0 SOLID WASTE FACILITYNEHICtE <br /> x❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑x WASTE TIRE <br /> x❑UNDERGROUND TANK(MONITOMNWREMOVAL) D03 KENNEL DAIRY <br /> x❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPER TRUCKIYARDTHEINICALTOILEfS <br /> ❑TATTOOMODY PIERCING ❑POOLISPA LAND USEAPPUCATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑x COMPLAINT RECORDS ❑OTHER(PLEASE S PECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:OOPM(EXCLUDIN(3HOLIDAYS) <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(208)404-0138-Qr mail t4 the address Indicated above, Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications recelved 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. Afile 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 retumed In the same condition as released will be reorganlzed by EHD staff at the expense of the applicant. <br /> Future file reviews by the some applicant may require a$125 deposit prior to review. [ y�! <br /> Y- .!../L'1. 7 / LLi a� ..•v / r1/�'7 <br /> a -0e a�fnr <br /> Received TimezJan. 22. 2015 3:59PM No. 7944 <br />