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DATEUct,`152009 4:33PM Advanced G e o E n v 1 r o n m e n t a I No. 5822EHDP'__,.DUMBER <br /> SAN JOAQUIN COUNTY <br /> 1R8Kr_','SVV' 3 0 ENVfRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> OCT 1 S 2009 Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgo'v.or <br /> ENVIROWENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> rlzwvllAPPLICANT i ellar BUSINE8S/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road, Stockton, 95215 <br /> PHONE(1): 269-46/-1UUb PHONE(2): 209-969-1724 FACSIMILE: 209-467-1118 <br /> 1CMlHIIVL-AF'I'UINIMtNI UAIE: xne+r Time: <br /> (Please allow 10 business days from date of application submittal-"Tenfadve only-must be confirmed) <br /> © CHECK BOX TO EXPEDITE REQUEST-$98.00 FEE!CASH OR CHECK ONLY)-REQUEST PROCESSED:N o BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 15 October 2009 <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS _ EHD USE ONLY <br /> Street# Street Name _ City _ ❑ Unit 1 <br /> 1. 433 West Scotts Avenue Stockton . " 4/ <br /> 2, ❑ Unit 2 <br /> �3 <br /> 4 Unit 3 <br /> Unit <br /> 7. <br /> Unit 5 <br /> — <br /> L110 El Unit 6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> El OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACIUTY WASTE TIRE <br /> XX UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑ DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTEL/HCTEL ❑PUMPERTRUCKNARD/CHEM TOILETS <br /> a TArToo/taoov P1ertawo 0 rooL/OrA O LANv Uae Arr LIGATION 31Te3 <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-6:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type($)Of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or malt to the address indicated aboveAddress <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$98.00 deposit prior to review, <br /> EHD USE ONLY <br /> EHD 48-06 WEB 8/8/2007 <br />