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0110412011 10:21 Advanced Co-,Fnviromental Inc. 'SAX)209 4671118 P.0011001 <br /> FECR dEIVE® SEHD LOG NUMBERSAN�OA.QUIN COUNTY <br /> AN 0 4 2011 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-2708 9 14 9 <br /> ENVIRONMENTAL ,EALTFjre1ephoae;(209)468-3420 Fax: (209) 464-0138 Web: www.sigov.org/elid <br /> PERMIT/SERVICES <br /> PUBLIC RECORbS RELEASE APP ICAATION <br /> APPLICANT a Uf S ' ,� <br /> + aVT C�` BUSINESSIAGENCY: Aty_x- ,4 <br /> ADDRESS: Vel Skw Cj" <br /> PHONE(1):-C�`�) 323-6S-5 t PHONE(2): q� J I -�Z3 6 - --_— _FACSIMILE:.(;'_m <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-*Tenfaf(ve only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$98.00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Informatlon: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 2, ❑ Unit 2 <br /> 4. ❑..-Unit 3 1'L <br /> 5. <br /> ❑ Unit4 <br /> 6. <br /> 7. <br /> Unit 5 <br /> 8. <br /> 9, <br /> ❑ Unit 8 <br /> 10, <br /> Specific Date Range of Information Requested:From C to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FiLES <br /> IJ UNDERGROUND TANK(UST)CLEANUP SITE(LOP) .HOUSING ABATEMENT D SOLID WASTE FACILITYIVEHICLE <br /> 0 OTHER CLEANUP SITE(NON-LOP) Q FOOD FACILITY D WASTE TIRE <br /> UNr)ERGROUND TANK(MONITORING/REMOVAL) 0 DOG KENNEL LJ DAIRY <br /> D H&ARDOUS WASTE GENERATOR C3 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 0 MOTELiHOTEL 0 PUMPER TRUCKIYARDiCHEM TOILETS <br /> 0 TATTOOIBODY PIERCING 11 POOLiSPA DND USE�PlPLICAT ON SITES <br /> 0 MWICAL WASTE FACILITY OTHER(PLEASE SPECIFY) I lle 4.Q �Yl/� /41�oY'140y1 y <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIPA B:OO AM-S:OOPM - 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)464-0138 or mall 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 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 f6r 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 /> *** If you should treed furtker assistance please contact Nane Martinez @ (209)468-3425 directly. Thank You*** <br /> END 49.09 81412008 <br />