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t'Adhw. <br /> Jan, 24. 2008 4:53PM �iiiiiiiiiiiiitnced Geo[nviromeiital No. 0926 P. 1/2 <br /> w <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> U) ENVIRONMENTAL HEALTH DEPARTMENT <br /> Z- <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> AM <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web-wNvw.sjgov. <br /> V! <br /> Qf7 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally colavita BUSINESSiAGENCY; Advanced GeoEnvircamentai <br /> ADDRESS: 837 Shaw Road Stockton, CA <br /> PHONE(1): 209.467-1006 PHONE(2): 209 463-3401 FAC81MILE: 209 467-1116 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please 3110W 10 bU$In068 days front date of application submittal-*Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQU T-$98.00F�EEE�AOR CHECK ONLY)-REQUE$T PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: [] List E]Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Narno— city El unit 1 <br /> 1. -1501 1Wt;,4 CkA,4tv, W4�j 3 L4 5-f <br /> 2- 1 5a1 0 Unit 2 <br /> 3. laqs (AtUA <br /> 4. <br /> Sodk Py�SWunit 3 <br /> 1Z 0-2- NA vj D,i� 40 . to <br /> 6. 1 0or Unit 4 <br /> N,kvw ,JAV00 <br /> 7. J 3f <br /> C Vv4' pt'a 6 vi -n4 <br /> units <br /> B. a,3 9 C i — h I f <br /> 14ALm <br /> 9. CA6&-e k,' <br /> --''W" —A1) Unit 6 <br /> ------------ <br /> a <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 13 HousiNG ABATEMENT OLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) 11 FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) 0 DOG KENNEL CIMAIRY <br /> XHAZARDOUS WASTE GENERATOR-/ 0 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> 171 TIERED PERMITTED FACILITY 0 MOTELJHOTFL 11 PUMPER TRUCKIYARDICHEm TOILETS <br /> 0 TATTOOtBODY PIERCING 0 POOLISPA 173 LAND USE APPLICATION SITE$ <br /> 0 <br /> MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 8:00 Am-5:00pm - EXCLUDING HOLIDAYS. <br /> 1. List up to ton addresses In the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected, Fax IQ(209)464-QJR-or.mall 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 /> 3:110 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 ton(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointmenw <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 83 released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the some applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> 62 ;Judiz-a,,-rm&�Iy 6�C 4r-�,Alq yq61-P,&A t& <br /> END 4846 WEB 818!2007 <br />