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DATENov,` 5` 2001 3.43PM Advanced GeoEnvi ronmental No, 0221.HDLP 2�Mg�a <br /> SAN JOAQUIN COUNTY <br /> EN17IRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjg31chl <br /> PUBLIC RECORDS RELEASE APPLICATION ° <br /> 4 3 <br /> APPLICANT: Maria Carranza BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 637 Shaw Rd., Stockton, CA <br /> PHON1=(1): 209-467-1006 PHONE(2): 209-609.4067 FACSIMILE; 209-467-1116 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time; anytime <br /> (Please allow 16 business days from date of application submittal-*Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$95.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 pUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ Llst❑ Map-Description: <br /> FILE ADDRESS... EHD USE ONLY <br /> Street# _ Street Name City ❑ Unit 1 <br /> 1• 9820 East Woodward Manteca <br /> 2. 2o5oo South Austin _ Manteca ❑ Unit <br /> 3. 20665 South Austin Manteca <br /> 4. 20675 South Austin Manteca ;;nit35. 20855 South Austin Manteca <br /> 6. 20909 South Austin Manteca ` nit4 <br /> 7. 20963 South Austin Manteca <br /> ❑ Unit 5 <br /> 8, 11651 Eaat Palm Manteca9(P <br /> g, 22005 South Austin Ripon ° <br /> �Unit 6 <br /> 10. 20666 South Austin Manteca <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL, HEALTH DEPARTMENT FILES <br /> NOERCROUNo TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACILITY/VEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) C] FOOD FACILITY WASTE TIRE <br /> UNDEROROUND TANK(MONITORINo/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY Q MOTEL/HOTEL ❑PUMPER TRUCKNARD/CHEM TOILETS <br /> 0 TATTOO/13ODY PIERCING ❑POOUSPA ❑LAND USE APPUCATION SITES <br /> ❑MEDICAL WASTE FACILITY Q OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT PECORDS 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(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected, Fax to(2091464-0138 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 same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 5/1612007 <br />