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Apr . Sr 2008 _ : 30PM Ads ed Geo Environmental No . 1656 P . 2 <br /> _D6ITE CE i� EHD LOG NUMBER <br /> ,I 1 SAN JOAQUIN COUNTY <br /> 8 008 ENVIRONMENTAL HEALTH DEPARTMEN <br /> )' R 600 East Main Street, Stockton, CA 95202-3029 2 <br /> QPdP 1EivlT NEALT eiephoae : (209) 468-3420 Fax: (209) 464-0138 Web : www, jg0v g4 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Robert Marty BUSINESS/AGENCY: Advanced GeOEnoiranmental , Inc , <br /> ADDRESS: 037 Shaw Road , Stockton , CA 95215 <br /> PHONF (1 ): 209 . 467 , 1006 PHONE (2); 209 . 969 . 3239 FACSIMILE: 209 . 467'. 117. 0•, • <br /> TENTATIVE" APPOINTMENT DATE: Time: 14 <br /> ac <br /> (Please allow 10 business days from date of applicatioh submittal - " Tantat/ve only - must be confirmed) ' <br /> CHECK BOR TO EXPEDITE REQUEST • Ss 0 F. s (CASH OR'CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAY ' <br /> SIGNATURE OF APPLICANT j"? 1 ur " r GATE o4 - 07 - 08 <br /> Electronic Information: ❑ List ❑ Map — Description : 1 <br /> FILE ADDRESS EHD USE ONLY <br /> Street p Street Name _ City ❑ Uniti, <br /> 1 , 62no Paciric Avenue Stockton t i <br /> 21 248 East Park Street Stockton i\ � � Og �J r/ filntfrrl23. t <br /> 0 <br /> 4 Unit 3 <br /> 6 Unit 4 <br /> 7. <br /> unit 6 <br /> Mtl� <br /> 8. F <br /> Iry <br /> 9. <br /> -- — ❑ Unit <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> '1 ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NNDERGROUNDTANK (UST) CLEANUP SITE ❑ HOUSING ABATEMENT ❑ SOLID WASTE FAC;UATYIVEHICLE <br /> THER CLEANUP SITE (NON•LOP) 4 FOOD FACILITY 0 WASTE TIRE <br /> NDERGROUND TANK (MONITORINGIREMOVAL) ❑ DOG KENNEL 173 DAIRY <br /> J IAAARDOUS WASTE GENERATOR 12CHICKEN RANCH O WASTEWATER TREATMENT PLANT <br /> TIERED PER <br /> FACILITY ❑ MOTEIJHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> 17 TATTOOIBODY PIERCING ❑ POOLISPA ❑ LANn USE APPLICATION SITES <br /> C] MEDICAL WASTE FACILITY ❑ OTHER (PLEASE SPBCIFY) <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($) of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to (208) 464.0138 or mail to the address Indicated above Address <br /> ranges will not be accepted — for additional assistance with file addresses, contact the EHD. Applications received after <br /> 9:00 pm will beprocessedthe next business day, <br /> 2. The EHD will notify the applicant If any EHD files exist. An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that I$ 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 same applicant may require a $98.00 deposit prior to review. <br /> EHD USE ONLY <br />