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0711212 0 Advanced 10nviromentalInc. )209 467 1118 P.0011001 <br /> U iUECE��� ENVIRONMENTAL HEALTH DEPARTMENT <br /> �>JL ZC1D 600 East Main St. Stockton, CA 95202-3029 <br /> ephons: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ hd <br /> nFRn"IT k'r PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Ally Colavita BUSINESS/AGENCY:Advanced GeoEnvironmenta: <br /> ADDRESS: 837 Shaw Road CITY/STATEIZIP: Stockton, CA, 95215 <br /> PHONE(1): 467-1006 PHONER): 483-3401 FACSIMILE: 467.1118 <br /> TENTATIVE"APPOINTMENT DATE: asap Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be cannrmad) <br /> ❑CHECK BOX TO EXPEDITE=tm,4 <br /> ECK 0 Y)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANTDATE 7 12 10 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS FHP USE ONLY <br /> StroetM Street Name city <br /> �• 11396 North Highway 99 Lodi <br /> 2• (Active LUST case) ❑units <br /> 3. <br /> 4, <br /> Unit 3 <br /> S. <br /> S. <br /> nit 4 <br /> 7. <br /> 8. <br /> Unit 6 <br /> 0. <br /> 711. <br /> ❑Unit 8 <br /> Specific Date Renee of Information Requested: From to --1e („ ( <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES ICU{+ <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> ❑OTHER CLEANUP 817E(NON•LOP) � ❑FOOD FACILITY [I WASTE TIRE <br /> ®UNDEROROUND YANK(MONITORINGIREMOVALM✓ ❑Doo KENNEL ❑DAIRY <br /> ❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PUNT <br /> F1TIERED PERMITTED FACILITY ElMOTELIHOTEL ❑PUMPERTRUCKIYARDICHEMICAL TOILET$ ^Ail <br /> E) <br /> PIERCING ❑POOLISPA [I LAND USE APPLICATION SITES 'l <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY•FRIDAY 8:00 AMd:00PM(EXCLUDING HOLIDAY$) <br /> 1. Llat up to tan addresses In the apace above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST he selected. Fax to (200)484.0138 p maitq�,ii pddreac 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 tan (10) <br /> days after receipt of application. The files will behold 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 EMD 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 came applicant may require a$1 la deposit prior to review, <br /> 6. If you need further assistance,pleaae contact Olen@ Martinez,at(209)468.3428. <br /> sae usg ONLY <br /> EMD 48-04 usrror <br />