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11lU611U11 08:58 Advanced GeoEnviromental Inc. OAX)209 4671118 P.001 t001 <br /> DATE RECEIVED EHD LOU NUMBER <br /> ,`, SAN JOAQUIN COUNTY `' <br /> > � ENVIRONMENTAL HEALTH DEPARTM90T <br /> 600 East Main St, Stockton, CA 95202-3029 <br /> 2,1Jelephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> L}� <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> �rro <br /> C _ <br /> APPLICANT:Ally Colavita BUSINESS/AGENCY:Advanced©eoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATMIP.Stockton/CA/96216 <br /> PHONE (1): 209467-1006 PHONE(2):209-483-3401 FACSIMILE:209-467-1118 <br /> TENTATIVE"APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of applloation submittal-`T'entaf/ve only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$126 FEE CASH OR,�HECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT����j (,y�/-�,1�-- � DATE 12/6/2011 <br /> Electronic information: ❑ Llst❑ Map—De3crlptton: <br /> FILE ADDRESS EHD USE ONLY <br /> Street* Street Name City Unit 1 <br /> 1. 2580 Teepee Drive WP- Stockton <br /> 2. 2580 Teepoo Drive " Stockton nit 2 <br /> 3. 3736 Highway 99(8 STATE ROUTS 99) 9-76cD Stockton <br /> 4. 3760 Highway 99(S STATE ROUTE 99) Stockton J I QJ( rG la , uw units <br /> S. <br /> 6' Unit a <br /> 7. <br /> 8. <br /> Unit 6 <br /> 9. <br /> 10. <br /> Unit 8 <br /> Speclnc Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑Doo KENNEL PDAIRY <br /> HAZARDOUS WASTE GE=NERATOR ❑CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> TATTOOIBODY PIERCING ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY COMPLAINT RECORDS C]OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE;AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:0017M(EXCLUDIN(3 HOLIDAYS) <br /> 1. hist up to ten addressee In the space above. Seloct the types)of files from the Ilot above by checking the appropriate <br /> box(e9). At least one file type MUST be selected. II to the addresa 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 notlty the applicant If any EHn flies exist. An appointment for review will be confirmed approximately,ton(10) <br /> days after receipt of application. The flies will behold 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 now application may be <br /> submitted when the file 19 available. <br /> 4. Any file not returned in the aame condition as released will be reorganized by EHD staff at the axponeo of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> EHD U8E ONLY <br /> 5 8M <br />