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Apr. 8. 2008 Geo Environmental No, 1656 P. 2 <br /> �130PM aced SAN JOA UIN COUNTY EHa LOG NUMBER <br /> ®O$ ENVIRONMENTAL HEALTH DEPARTMEN <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> N'�IP,t g�Pv�Et`1� �I ALTffelephoue:(209)468-3420 Fax: (209)464-0138 Web: www. -go g e <br /> PERI;11T( F�V�CES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Robert Marty BUSINESS/AGENCY: Advanced GaoEnvirownental, Inc. <br /> ADDRESS: 837 Shaw Road, Stockton, CA 95215 <br /> PHONF(1): 209.467.1006 PHONE(2): 209.969.3239 FACSIMILE: 209.467.1118 <br /> TENTATIVE' APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE RWFWr-$9 0.•F. E(CASH OWCHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT `�:_::. ._ �% , . - DATE 04-07-0e <br /> Electronic Information: ❑List❑ Map-Description: .) <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name _ Cityr t <br /> tt S I" � <br /> u( � • (o <br /> �, 6230 Pacific Avenue �- T Stockton 1 <br /> � 248 East Park Street _ Stockton Unit <br /> 3. 1 1 ! <br /> 4. <br /> S. 4 <br /> 6. r 6C S01 <br /> Unit 4 <br /> 7 - <br /> ❑ Unit 5 <br /> 9. <br /> E4 �3110__._ ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES r foe'— <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®HOUSING ABATEMENT ❑SOLID WASTE FACILITY/VEHICLE �I V <br /> THER CLEANUP SITE(NowLOP) Q Foos FACILITY 1:3 ,WASTE TIRE i 4 it 35 <br /> NDERGROUND TANK(MONITORING/REMOVAL)a ❑DOG KENNEL 11 DAIRY t� i 1/���® <br /> }iA05RDOUS WASTE GENERATORk M CHICKEN RANCH O `i WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> 13 TATTOO/BODY PIERCING ❑POOL/SPA ❑LANb U$E APPLICATION SITES <br /> Q MEDICAL WASTE FACILITY 11 OTHER(PLEASE SPBCIFY) <br /> WELL AND SEPTIC PERMIT RECORDS 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 typs(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0136 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 some applicant may require a$9a.00 deposit prior to review. <br /> EHD USE ONLY <br />