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211912014 11:19 ) P.001/001 <br /> EHD LOG NUMBER <br /> B <br /> DATE RECEIVED SAN aIOAQUIN COUNTY <br /> IRECG'VGD ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB �. 9 20141868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (20 9)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAI_IiEAI_ (-I <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal eusINESSIAOENCY: Advanced GeoEnvironmental <br /> ADDRESS: -837 Shaw Road CITY/STATE/`LIP: Stockton /CA /95215 <br /> PHONE(1): 209-467-1006 PHONE (2): 209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE`APPOINTMENT DATE: ASAP _— Time: <br /> (Please allow 10 buslnasa days from data of application submittal-•Tonfstlwo on y-must bo confirmed) <br /> ❑CHECK BOX 70 EXPEDI U -$125 FEE( R CH K O. - -REQUEST PROCESSED IN 3 aUSIN SS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronlc Informatlon: ❑ List❑ Map—Description; <br /> FILE ADDRESS ______ERD USE ONLY <br /> gtteettl Street Name City Unft1 <br /> 1. 56 South Lincoln Street Stockton <br /> 2, 402 West Weber Avenue Stockton tinnz 1 <br /> 3. 666 West Weber Avenue Stockton 17 <br /> 4. 504 West Weber Street or Ave Stockton _171'unR3 <br /> 5 � 2o/y71 l//G <br /> 8. / � Omit <br /> T. 2"r�(�s It'll <br /> g• El Unit 5 <br /> 9. <br /> 10. —Unit e <br /> Specific Data Range of Irdormation Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND.TANK(U ST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT Q% SOLID WASTE FACILUYIVEHICLE <br /> X OTHER CLEANUPSRE(NON-LOP) El FOOD FACILITY QWASTETIRE <br /> 0 UNDERGROUND TANK(MONiToNNGIREMOVAL) ❑DOG KENNEL Q DAIRY <br /> I]HAZARDOUS WASTE GENERATOR E]CHICKEN RANCH r❑-I WASTEWATER TREATMENT PLANT <br /> X❑TIERED PERMITTED FACILITY ❑MOTEUHOTEL LJ PUMPER TRUCKIYARdCHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING r❑�I POOUSPA []LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTEFAGLITY ❑COMPLAINTRECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELLANDSEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRInAY8:00 AM-5:OOPM EXCLUDING HOLIDAYS) <br /> 1. 1 ist tin to ton addresses In the apace above. Select the type(a)of files from the list above by checking the appropriate <br /> box(es). At least one fire type MUST be selected. Fax to(209)464-0138 or mall to the addross indicated above. Address <br /> ranges will not be accepted•for additional assistance with Elle 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 Me reviews by the same applicant may require a$125 deposit prior to review. <br /> END USE ONLY <br /> 811111 <br /> eRo ae•oe <br /> Received Time Feb, 19. 2014 11 : 11AM k 5231 <br />