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03116/2011 08:39 Advanced GeoEnviromental Inc. ;FAX)209 4671118 P.0011001 <br /> H� iV4H_cd EHD LOG NUMBER <br /> N3WIV0HIAN3 SAN JOAQUIN COUNTY 4 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> IIOZ 91 vr'l 600 East Main St. Stockton, CA 95202-3029 6\056 <br /> Telephone: (209) 468-3420 Fax. 209 464-0138 Web:www.sjgov.org/ehd <br /> C13AI303U PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:_ Ally Colavita BUSINESS/AGENCY:AdvaoAd G9oEnVirnnmPnfg1 <br /> ADDR158S: - 837 Shaw Road CITY/STATE/ZIP: Stockton/CA/95215 <br /> PHONE(1): 209-467-1006 PHONE(2):209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTAT/VE'APPOINTMENT DATE:wsaIn Time: <br /> t (Please allow 10 business days from date of application submittal-"7lentative only-must be confirmed) <br /> L 1 CHECK BOX TO EXPEDITE REQUEST-$e�'ECIIR ECK ONLY)-REQUEST PROCESSED 1N 3 SUSINESB DAYS <br /> SIGNATURE OF APPLICANT (/�jJ/I�rJ DATE /l I <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILET ADDRESS EHD USE ONLY <br /> Strut# Street Name City Unit 1 <br /> 1• 1 H$ Cu f A puri .os aa. __S rriz <br /> _. <br /> nit.2. <br /> 3. ---- <br /> 4. Z1 go 216nit 3 <br /> 6. � <br /> 6. <br /> nit 4 <br /> 7. <br /> Ej 8. <br /> Unit 6 <br /> 9. <br /> 10. <br /> nit 8 <br /> Specific Date Range of information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �(]UNDERGROUND TANK(UST)CLEANUP SrTE(LOP) ❑HOUSING ABATEMENT ®SOLID WASTE FACILTTYNEHICLE <br /> ®OTHeR CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ®WABTETIRE <br /> N UNDI_R©ROUND TANK(MONITORINOIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> RI HAZARDOUS WASTE(3ENERATOR ❑CHICKEN RANCH ®WASTEWATER TREATMENT PLANT <br /> K( TIERED PERMITTED FACILITY MOTELIHOTEL ❑PUMPERTRUCKIYARD/CHEMICAL TOILETS <br /> ❑TATTOOISODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ® MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARB AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 Am.6:00PM(8XCLUDINa HOLIDAY$) <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At(east one file type MUST be selected. Fax to(209)464-0138 or m211 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 businesa day. <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for revlew will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be hold for a maximum of five business days for review. Appolntmants <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked on by EHD staff may not be Immediately avallable 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$116 deposit prior to review. <br /> 6. if you need further assistance,please contact Dlane Martinez,at(209)468-3416. <br /> RHD use N y <br /> RHD 48.09 E/27I09 <br />