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�0 02107/2014 10:58 "`X) P.001l0131 <br /> �■ DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> 1011 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Fg Zpjelephone: (2D9) 468-3420 Fax: (209)464-0138 Web: wvvw.sjgov.org/ehd <br /> MiC�sdWR SL1111 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENcY: Advanced GeoEnvironmental <br /> ADDRESS; 837 Shaw Road CITY/STATF/ZIP: Stockton / CA / 95215 <br /> PHONE (1); 209-467-1006 PHONE(2): 209-323-7511 FACSIMILE: 209-457-1118 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of oppllcstion submittal-'Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST $125 FEE(CAS CHE L -REQUEST PROCESSED IN 3 BUSI ESS PAYS <br /> SIGNATURE OF APPLICANT = DATE '� 1 <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street to Street Name city UnK 1 <br /> �- <br /> [2. <br /> 15000 WEST SCHULTE ROAD V TRACY 14700 SCHULTE ROAD TRACY ��� sem- unK2• 14700 WEST SCHULTE ROAD TRACY p ST 5A1 �s4rrp <br /> 0-1 cc <br /> 4. 15178 SCHULTE ROAD TRACY US— ���. CC) ud ' bntt3 1 � <br /> 5. <br /> 8. ElUnit 4 <br /> 7. <br /> B. ` Unit 6 <br /> 9. <br /> 10. Unit 6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOMING ABATBAENT SOLID WASTEFACILITYNEHICLE i�', <br /> x❑OTHER CLEANUP SITE(NON-LOP) ❑FODD FACILITY x❑WASTE TIRE <br /> x❑UNDERGROUND TANK(MONITor4%fREMOVA0 ❑DOG KENNEL DAIRY I aY <br /> X❑HAZARDOUS WASTE GENERATOR El CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑x TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPER TRUCK/YARD/CHEMiCALTOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOUSPA E LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 0 COMPLAINT RECORDS ❑OTHER(PLEASES PECIM <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-b;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 1209)494-0138 or mail to the address Indicated above, Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Appllcatlons 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 avallable 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 appllcanL <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> 2-1z- „, tc i t r f t`1-07IG �- 1R-�`c`i�-� (or Iy7C�`w� <br /> C-a-X00 s'�b _ r f 5/o6, <br /> Received Time Feb, 7 2014 11; 51AM No. 5152 <br />