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I <br /> Jan. 24. 2008 4 53PM Advanced GeoE, i r o n m e n t a I No. 0926 P. 2/2 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> G)1'l��l� 4 <br /> , �­D) <br /> ENVIRONMENTAL HEALTH M <br /> DEPARTENT <br /> 600 East Main Street, Stockton,CA 95202-3029 <br /> SAM Telephone: (209)468-3420 Fax: (209)464-0138 Web:wivw.sjgoor <br /> 3 <br /> I' r:rl, PUBLIC RECORDS RELEASE APPLICAT10�IO <br /> PL.AO'P;L,16,ANT: Ally Colavita RUSIN ESSIAG ENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road Stockton, CA <br /> PHONE(1): 209 467-1006 PHONE(2): , 209 483-3401 —FACSIMILE: 209 467-1118 <br /> TENTATIVE*APPOINTMENT DATE: Time; <br /> (Please allow 10 huslMoss days from date of application Submittal-*Tentafiye only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEjT-$98 7' <br /> ,qO F ASH�jlt CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ) <br /> j DATE <br /> Electronic Information: [] List[] Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street# Street Name city At f El Unit i <br /> Al <br /> 2. 112-0....... tj It K, alo j 0 unit <br /> I <br /> _p,- 3, jig 1711 A.110,V U1 I- <br /> ..ry. <br /> 5. <br /> 6. Unit 4 <br /> r^U— ........ <br /> 1510 IL ,Lf Ll Unit 5 <br /> 4xj C-164 <br /> 9. "J \1 <br /> Unit 6 <br /> 10. U 4_1 1 (100 <br /> L <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> .;!_�UNDERGROUND TANK(UST)CLEANUP SITE(LOP) M HOUSING ASATEMENr OLID WASTE FACILITYNEHICLE <br /> q�,PITHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY ASTETIRF GI <br /> .,�QYNDERGROUND TANK(MONITORINGIREMOVAL)V M DOG KENNEL DAIRY <br /> JR HAZARDOUS WASTE GENERATOR CHICKEN RANCH El WASTEWATER TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILITY MOTELIHOTEL 0 PUMPER TRUCKfYA1301CHEm TOILETS <br /> t]TATTOOIBODY PIERCING ❑POOLISPA C1 LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 Am-6:00pm - EXCLUDING HOLIDAYS. <br /> 1. 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. Fax to(209)464-0138 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 flies exist. An appointment for review will be confirmed approximately ton(10) <br /> days after receipt of application. The files will be hold 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 same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> Ut)48-06 WEB 81110007 <br />