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Apr, 8. 200 :30PM Adva. 'td GeoEnvironmental No. 1656 F. 2 <br /> hI� SAN JOA UIN COUNTY •r EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMEN <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> dlRutd�v1E FIT rl <br /> �A`T}ffelephone: (209)468-3420 Fax: (209)464-0138 Web: www, 'go g e '55 <br /> LN <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Robert Marty BUSINESSIAGENCY: Advanced GeoEnvironmental, Inc. <br /> ADDRESS: 837 Shaw Road, Stockton., CA 95215 <br /> PHONE(1): 209.467.1006 PHONE(2)_ 209.969.3239 FACSIMILE: 209,4671-i Y8•' <br /> TENTATIVE`APPOINTMENT DATE: Time. <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE R�QUESR-$9 9(0 F E(CASH ORCHECK ONLY)-REQUEST PROCESSED IN 3 BUSINE$3 D4Y <br /> SIGNATURE OF APPLICANT / 7r1 � ��.. DATE 04-07-08 <br /> "_4 f <br /> Electronic Information: L] List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name_ City d Unit 1 <br /> 6230 Pacific Avenue _ Stockton I o <br /> I � <br /> Z. 248 East Park Street Stockton --r—j , �O �✓ � yt Z <br /> 3. C� <br /> 4- Unit 3 <br /> 6. Unit 4 <br /> 7. <br /> __. .. ._ ❑ Unit 5 <br /> 9. <br /> 10. — ----- -- ❑ Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> INDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITY/VEHICLE <br /> THER CLEANUP SITE(NON-LOP) rn FDoo FACILITY ❑WASTE TIRE <br /> �INDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> }IAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑TATTOOlBODY PIERCING ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> Q MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8.00 AM-5:00PM - EXCLUDING HOLIDAYS, <br /> 1. List Up to ten addresses In the space above. Select the type($)of files from the list above b checking the <br /> Y 9 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 some applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br />