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Jan. 24. 2008 4:53PM Ah—ced GeoEnvi ronmental 49 No, 0926 P. 1/2 <br /> DATE RECEIVED <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT 1 a�Z <br /> 600 East Main Street, Stockton, CA 95202-3029 *73 <br /> U l Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sjgov. <br /> E± PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally colavita BUSINESSIAGENCY: Advanced GeoEnvircnmental <br /> ADDRE88: 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 bV$Ine66 days from date of application submittal-"Tentative only-must be confirmed) <br /> 173 CHECK BOX TO EXPEDITE REQU T-$98.00FrJOR'CHIECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ DATE <br /> Electronic Information: ❑List❑Map–Descrlptlon: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name AvI <br /> 1. <br /> 2. s <br /> ic: ' <br /> S , <br /> e. I I oto N, I P"IW_ ..1­_­- - <br /> 7. A.9 3f 50-Itk ptlaMin <br /> Uni <br /> VS/e.s f.._. <br /> 9. 13 i s i CLey Ill A . <br /> 110 <br /> 10- 11310 —?run <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT OLID WASTE FACILITWEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) 173FOOD FACILITY tiftWASTEsTIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) 173DOG KENNEL AIRY <br /> XHAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑TATTOO/BODY PIERCING ©POOLISPA ❑LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY q 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 ten 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)464-0136 ar mall to the address Indlca d_ 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 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 revlewe by the same applicant may require a$96,00 deposit prior to review. <br /> EHD USE ONLY <br /> EMD JIM WEB 918/2007 <br />