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1111"" Ub1Lb1LU1 L UtJ:SU Advanced GeoEnviromental Inc. TAX}209467111E P.0011001 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN.IOAQUIN COUNTY <br /> RECEIVED ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �J ,1 2�T� hone: (209)468-3420 Fax: (209) 464-0138 Web:www.sigov.org/eh <br /> ENVIRONMEN"F-A ftBLIC RECORDS RELEASE APPLICATION <br /> PERMIT/SERVICES <br /> APPLICANT: Ally Colavita BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton/CA/95215 <br /> PHONE(1): —209467-1006 PHONE(2):_209-483-3401 FACSIMILE:. 209-467-11.18 <br /> TENTATIVE"APPOINTMENT DATE:ASAP .Time: <br /> (Please allow 10 business days from date of application submittal-`ftnpaWa only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$1 b EEC QR CH ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT_ DATE 06/26/12 <br /> Electronic Infonnatlon: ❑ List❑Map Description: <br /> FILE ADDRESS EHD USE ONL��2 <br /> - 42 <br /> street 0 Stns Name City 1 <br /> 1• 2361 E. Weber Ave ' . Stockton w., Ile <br /> 2. 2375 - E. Weber Ave Stockton <br /> — - --- _—--- .--.............. Unit Z <br /> 3. 2391 E. Weber Ave 711,17 �1 Stockton r- <br /> a• 2400 E, Weber Ave Stockton nic3 <br /> S• 2435 E. Weber Ave Stockton13 <br /> 8• 2438 E. Weber Ave 01W Stockton , b �J c % !� UnIt4 <br /> 7• 2476 E. Weber Ave Stockton <br /> 8- 132 'N. F Street Stockton ElUnita <br /> 9- 145 N. F Street Stockton <br /> 10. 149 N. F Street' Stockton t� l ( e <br /> Specific Dat*Range of Information Requested: From ell to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILE$ <br /> El UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑X SOLID WASTE FACILITY/VEHICLE <br /> ❑k OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑x WASTE TIRE //,,`` r Lll7 I <br /> Q UNDERGROUND TANK(MONITORIN01REMOvAL)- ❑DOG KENNEL DAIRY 4TMENT <br /> I�S <br /> I�HALIRDOUS WASTE GENERATOR,--;(, ❑CHICKEN RANCH 1MPL 1 Z <br /> 0 TIERED PERMITTED FACILITY O� ❑MOTMJHOTEL ❑Pum R TRUEICAL <br /> ❑TATT00190DY PIERCING ❑PuMPERTRUCKIYARDJCHE'MICAL TOILETS <br /> ❑ MEDICAL WASTEoDy PI FACILITY ❑POOLISPA Q LAND USE APPLICATION$ITES <br /> ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPYIC PERMIT RECORDS ARe AVAILABLE FOR REviEw: MONDAY-FRIDAY 8.00 Art-6:0OPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the apace above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At feast one file type MUST be selected. Fax to(2091464-0138 or mall to the address Indicated above Address <br /> ranges will not be accepted-for additional&*aistsnce 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 EMD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flies 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 same applicant may require a$126 deposit prior to review. <br /> ! EHO USE ONLY <br /> ZHD 48.0 <br /> atn <br /> Received Time Jun. 26. 2012 8:47AM No. 0359 <br />