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I 09/1712013 � 17:19 ' P.0011001 <br /> DA IVED j SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> r 8 2Q�3 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464.01-38 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironniental <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton I CA 195215 <br /> PHONE (1): 208-467-1006 PHONE(2):_ 209-623 7200__ FACSIMILE: 209-467-1118 <br /> TENTATIVE"APPOINTMENT DATE: ASAP ' Time: <br /> (Please allow 10 business days from date of application submittal-'Tenfadve only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE E $t25 FEE(CASH O ECK LY)-R QUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 7• �'). � .� <br /> Electronic Information: ❑List❑ Map—Description, <br /> FILE ADDRESS EHD USE ONLY <br /> Strawt# Stroot N=mo City f Unit 1 <br /> • 1 N r Av • <br /> 2. 1203 North Gertrude Avenue o k on Unit2 <br /> 3• 1275 North Gertrude Avenue Stockton <br /> 4. 1448 Shaw Road n k n . " UnIt3 <br /> 5, 21 Shaw I pa K- �© <br /> 6- 1113 Shaw Road ' Stockton 1i k $rA�d unit 4 <br /> 7- 4343 Ess# Fremont Street' 0Stockton /Lti $ft.G/alseJ <br /> a- 4801 Nadottl Road Stockton 2 Unit a <br /> �- 155 North Gertrude Avenueyl <br /> 0• eunit e <br /> Spaalflc pato Range of information Requested: From all to <br /> r ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSIHO ABATEMENT K SOLID WASTE FACILITYNEHICLE <br /> 0 OTHER CLEANUP SITE(NON-LOP) H FOOD FACILITY e WA6TE TIRE <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOO KENNEL Q DAIRY <br /> Q HA7ARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WAVEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKMARDICHEMICAL TOILETS <br /> ❑TATT001130DY PIERCINO LI POOLISPA ' J LAND DISE APPLICATION 51TEG <br /> ❑ MEDICAL WASTE FACILITY ❑x CCMPLAINY RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SOPTIC PIIRMI'r RECOR68 ARE AVAILABLE FOR REyIEw: MONDAY-FRIDAY 8:00 ANI-6:OOPM(EXCLUDING HQLIDAYs) <br /> 1: List up to ten addresses In the apace shave. Sa[aci the type(a)of files from the[let above by checking the appropriate <br /> box(ee). At least one file type MUST be selected. Fax to 12021464-W38.or mail to the address Indicated_above.- Addreaa <br /> ranges will not be aeeopted=for addttionsl assistance with file addresses,ccntaetthe EHD. Appileations received after. <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHO will notify the applicant If any EHD tilos exist. An appointment for review will be Confirmgd approximately tan(10) <br /> days after receipt of applfcatlon: The flies will be held for a maximum of five business days for review. Appointment* <br /> should be scheduled accordingly. <br /> 3. .A file that Is actively being worked on by EHD staff may not be immediately available for ravlow. 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 roorganlzed by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may requlre a$126 deposit prior to review. <br /> CHI)USE ONLY <br /> BHD 40-00 - 1 <br /> Received Time Sep. 17.: 2013 15::16FM No. 4093 <br />