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oATENov.` 5`� 2007 3:43PM Advanced GeoEnvironmental No. 022_'HDLP.'_ ."JMBr_R <br /> '" SAN 3OAQUIN COUNT' `.•r <br /> RE C-8VEDD <br /> ENVIRONMENTAL HEALTH DEPARTMENT 600 East Main Street, Stockton, CA 95202 <br /> 2007 Telephone: (209)468-3420 Fax: (209)4640138 Web: vvww.sjgov.o /e <br /> 1 <br /> ALIH PUBLIC RECORDS RELEASE APPLICATION <br /> ,oppQ J� EIMti i carran2a BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Rd., Stockton, CA <br /> PHONE(1) 209-467-1006 PHONL(2); 209-609-4067 FACSIMILE: 209-467-1118 <br /> TENTATIVE`APPOINTMENT DATE: _ASAP Time: anytime <br /> (Please allow 10 business days from date of application submittal-'Tentative only•must be confirmed) <br /> )(CHECK BOX TO EXPEDITE REQUEST-$85.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information: ❑List❑ Map—Description: <br /> FILE ADDRESS END USE ONLY <br /> street 7F Street Name City ❑ Unit 1 <br /> 1. 702 �I South Aurora street Stockton A), � <br /> 2. 510 _ East Magnolia Street — Stockton 35 a Unit <br /> 3. 1252 North Staniglauo Street Stockton <br /> 4. 1212 North California Street Stockton f U164( <br /> \� <br /> 5. 1800 Califonia Street Stockton <br /> _ a u <br /> 6. J �. Nei-�r�� wra_ Stocktonf_c <br /> 7. <br /> Unit 5 <br /> 8. <br /> 10. Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> .ZUNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT OLID WASTEAGL ,%TL & <br /> f]THER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> -AP UNDERGROUND TANK(MONITORWG/REMOVAL) In DOO KENNEL n DAIRY <br /> .J HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 173 TIERED PERMITTED FACILITY O MOTEL/HOTEL 0 PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑TA-rTOO/BODY PIERCING ❑POOL/SPA ❑ LAND Use APPLICATION SITES <br /> d <br /> MEDICAL WASTE FACILITY 13 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5;OOPM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of riles 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 END 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 fila reviews by the same applicant may require a$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> >~Ho4a.oe 5r�s24o� <br />