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.-r 1 <br /> 0711212 0 �tl Advanced Ge.-nviromental Inc. TA-_P94671118 P.0011001 <br /> EN ONMIENTAL <br /> HEALTH DEPAR7MEW <br /> 3 jiL ZDIB n 600 East Main St. Stockton, CA 95202-3Q29 <br /> ephons: (209) 468=3420 Fax: (209) 464.0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION 4 <br /> APPLICANT:Ally Colayita BUSINESSIAGENCY:Advanced GecRnvironmerlta: <br /> ADDRESS: 637 Shaw Read CITYISTATEMP Stockton, CA, 95215 <br /> PHONE(1): 467-1006 PHONE(2): 483-3401 FACSIMILE: 467-1118 <br /> TENTATIVE*APPOINTMENT DATE: ase - Time: <br /> (Please allow 14 busrness days from date of application submittal- must ba connrmod) <br /> ❑CHECK BOX TQ EXPEDITE-REQUE - 115 $FI ECK O Y}-RI QUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 7/12/10 <br /> Electronic information: ❑ List❑Map-Descrlptlon: <br /> FILE ADDRESS RHP USE ONLY <br /> 8tr9ot Street Name City <br /> Unit i n <br /> �• <br /> 11396 North Highway 59 Lodi c <br /> 12• (Active LUST case) <br /> 11UnIt2 L <br /> w'e A <br /> ,4• <br /> S. X10 <br /> 3 <br /> B. <br /> 361t,4 <br /> 7. <br /> 8. <br /> Lln1t 6 <br /> ©Unit S <br /> Specific Date Range of Information Requested: From to <br /> .ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNV�RGROUND TANK(UST)CLEANUP SrrE(LOP) ❑HnlleiNe ABATEMENT ❑SOLID WASTE FACIUTYMHICLI: i <br /> ❑OTHER CLEANUP SITE(NON•LOP) ❑Foon FACILITY ❑WASTE TIRE <br /> ®UNDEReRouxD TANK(MON ITORIN131ftMOYAL) ❑coo KENNEL ❑DAIRY <br /> ❑HA7ARDOUG WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT t <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑AUMPERTRUCKIYARDICHEMICALTOILETS I <br /> ❑TATToolftDY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY O:OD AM-S:DOpm(i;XCLUDINO HOLIDAY$) <br /> 1. Listup In the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file typo MUST be selected, Fax to(209)4844138.oLmH to ddress indir` bane. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm w(ll be processed the next business day. <br /> 2. The EHD will notify the applicant If Any EHD flies exist.`An appointment for review will be confirmed approximately ton(10) <br /> days after receipt of application. The fifes 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 filo is available. <br /> 4. Any file not returned IIS 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$115 deposit prior to review. <br /> 6, If you need further assistance,pleats contact Marie Martinez,at(209)468.3426. <br /> EHO usr.ONLY <br /> Exo to-ns ersrroa <br /> ' t <br />