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1 _ <br /> 02/0712014 10:58 ") P.0011001 <br /> ■ <br /> ■ <br /> i� <br /> � ■ DATE RECEIVED EHD LOG NUMBER <br /> ■ z, SAN JOAQUIN COUNTY <br /> EC <br /> EVENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 0 1 Zojjelephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/elid <br /> .��viF�0�1M �lFliCLTt1 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENcY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton / CA/ 95215 <br /> PHONE(1); 209-467-1006 PHONE (2): 209-323-7511 FACSIMILE: 209-457-111$ <br /> TENTATIVE"APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be corrflrmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST $125 FEE(CAS CHE L -REQUEST PROCESSED IN 3 6USI ESS PAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: M List❑Map— Deacrlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name City Unit 1 <br /> 1- 15000 WEST SCHULTE R0ADn1TRACYV,,L] <br /> 2. 14700 SCHULTE ROAD TRACY -1 Unita <br /> 3• 14700 WEST SCHULTE ROAD TRACY LIQ /I <br /> 4• 15178 SCHULTE ROAD TRACY unit3 t <br /> g, 1 dnit 4 <br /> 7. <br /> B. <br /> 9. <br /> 1O, , 6NL <br /> specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING AHATWENT ❑SOLID WASTE FACILITYNEHICLE <br /> xQ OTHER CLEANUP SITE(NON-LOP) ®FOOD FACILITY 0 WASTETIRE <br /> x❑UNDERGROUNDTANK(MONITordkVREMOVAL) ®DOG KENNEL DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> xQ TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PLWPER TRUCKNARDICHENCAL TOILETS <br /> ❑TATTOO/SODY PIERCING ®POOLISPA 0 LAND USE APPLICATION SITES <br /> ❑ M17DICAL WASTE FACILITY 0 COMPLAINT RECORDS ®OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5;OOPM(EXCLUDING HOLIDAYS) <br /> 1. !_1st un 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. Lax to 12091464-01:8 or mall to the address Indicated above. Address <br /> ranges will not be accepted-for additional aaalstance 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 EHQ 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 now applicatlon may be <br /> submitted when the file is available. <br /> 4. Any filo 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$125 deposit prior to review. <br /> EHO USE ONlY <br /> ENO BAB <br /> Received Time Feb, 1, 2014 10: 51AM No- 5152 <br />