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Jan, 24, 2008 4: 53PM 1W need G e o E n v I r o n m e n t a 1 No- 0926 F. 1/2 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> i,7 i <br /> ENVIRONMENTAL HEALTH 2 DEPARTMENT Z_ <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> 4 j Telephone:(209)468-3420 Fax:(209)464-0138 Web-www.sj3gov. 0073 <br /> ,r pq V;p,n t <br /> ty,LTH PUBLIC RECORDS RELEASE APPLICATION <br /> P 1 Fc- <br /> APPLICANT: Ally colavita BUSINES$IAGENCY; Advanced GeoEnviranmentai <br /> ADDRESS: 837 Shaw Road Stockton, CA <br /> PHONE(1); 209 467-1006 -PHONE(2): 209 463-3401 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 REQU T-$98.00F!EE�AOR CHECK ONLY)-REQUEST 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 Namecity ❑ Unit 1 <br /> 1. Wej,4 Chante wet,y 3 L4 <br /> 2. 1 5;() -­­We—Ckadey V UnIt2 <br /> 4- unit 3 <br /> sow pe- S�('10 VLO <br /> 0 <br /> o-2. hfckvv Nive, <br /> Unit 4 <br /> 6. 1140 Nkvw P <br /> 7 31- <br /> Vt i unit 5 <br /> 8- Wes C_kjLy-kr <br /> 9. 1310Ms� 0_6y L'e."_ 1110 As F <br /> t <br /> —10. 1 13�0 WIr14 �jg j4t_ W=_AVR _1LIJ—Z IU 51 2 A:5T In[ <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING ABATEMENT OLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL)V 0 Don KENNEL tAIRY <br /> 'XTHAZARDOUS WASTE GENERATOR-/ El CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY 0 MOTFLIHOTEL 0 PUMPER TRUCKIYARDICHEm TOILETS <br /> 173 TATTOOIBQDY PIERCING 0 POOLISPA 11 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY 13 OTHER(PLEASE SPECIFY <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 Am-5:00pm - EXCLUDING HOLIDAYS. <br /> List up to ton 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. Fag 1 1209)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 EMD 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 same applicant may require a$96-00 deposit prior to review. <br /> EHD USE ONLY <br /> 6 14 f c r r o 6 It y <br /> ENO 48-06 WEB SAt2007 <br />