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10/13/2014 17:01 (FAX) P.0011001 <br /> III "A <br /> li • • <br /> I ■ <br /> IO f,'�s� fl a8/F� SAN JOAQUIN COUNTY - EHD LOG NUMBER <br /> 1111 7 �9kk�� !!II iaCCYL) ENVIRONMENTAL HEALTH DEPARTMENTr�� <br /> OCT 13 2014 1668 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/e d <br /> 57 <br /> ENVIRONMENTALHENk.'VH <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal ei1SINESS/AGENCY: Advanced Geo Environmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton / CA /95215 <br /> PHONE (1): 209-467-1006 PHONE(2): 209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: ASAP- Time; <br /> (Please allow 10 business days from clataepplice on submittal-•Tenrauve only-must be con <br /> ❑CHECK BOX TO EXPEDITE RE -$125 FEE( 0 CC Y)-REQUEST PROCESSED IN 3 BUST SS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> .01 <br /> Electronic Inforrnatlow ❑ List❑ Map—Descriptl n: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City nit 1 <br /> 1• 740 North CluffAve Lodi <br /> 2. 802 North Cluff Ave Lodi <br /> 3. 1333 East Turner Rd Lodi P •? un <br /> ' <br /> nit 3 <br /> 5. <br /> 6. <br /> /U/nttd <br /> 7. <br /> 8 Unit 6 <br /> 10. <br /> Unit a <br /> Swl lc Date Range of Information Raqua9ted: From aII to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> OUNDERGROUND TANK(UST)CLEANupSITE(LOP) ❑HOUSING ABATEMENTQSOLIDWASTE FACILITYNEHI LE t <br /> x�OTHFRCLEANUP SITE(NON-LOP) ❑FODDFACILITY []X WASTETIRE 7 AI(IS rWlI 37 <br /> X❑UNDERGROUND—...._...__--------..... . I IL)•_I.q-ly <br /> OHAZARDOUS VVI 10 31_f : CptnD2l4�(�pf SOo� ; HY� CLv/f. RTREATII NTPLANT <br /> X❑TIERED PERMITCKNARDICHEMICALTOILETS <br /> 3 ❑TAiTO0180DYl (p-it-lu• $C✓ttktf 5 i64&,,j Oji V -4 getrjl yp /Yrxt 9cd. ptl;// PPUCATIONSITES <br /> E] MEDICALWASI Q-ov:d (AM nt 1-1 {p dGQ I4e,`... 4SESPECIFY) <br /> g, WELL AND SE IZ-Ji_IU: PSV 6 1�Pr)�•I,� ?XCLUDINGHOLIDAYS) <br /> O 1. LIatUAtOtE t .1 W, I(. 9�11m/. V/� fyr-(,t5Tr- ig the appropriate <br /> box(ranges). At h/Nk p�vi �M� �f �n a �iYt>'C�ted above. Address <br /> ranges will <br /> XI 3:00 pmwil IS•FoIIaN;xq Colht'lldi% nta 1z1'e 9A-�n -44^1eNotts received after <br /> c( Hw IP �� <br /> p 2. The EHD A c0 fp8-�g0-7-P,oP G 5(4 45-O(o 51 t� approximately <br /> hr �2 Cduff• Lf�/ rOQ G S ten(10) <br /> Q days after r <br /> � shouldbea $p�f(.�p.1t c.O���rOc°_p�p65 #45o7/O)•,r, G/)',2l,O�ObS w. Appolntmenb <br /> 3. Aflethath 56:,HontdCC9005aSb ' P.t1/6 5 Ci 96 o�t/)'nuA2/pnplos ew application may he, <br /> aubmittedv LhO c�m10bllrl- Cry 6q L/ 7- O1�5 A 14 <br /> 4. Any file not gA(zAP(pS �e 4o q OT eet/t4P� A �Dr Zn�( f so of the applicant. N% <br /> Future file r_._ Y� <br /> d IO Lci-14 v Fr e✓Yt D F 5 4tn) r.Dr <br /> Gcn <br /> j)q-j-jqV) 3 5: 1210 7 -0030-7 -W 0vJ (-,Ip- WrSD <br /> ff <br /> cS C.T 0 <br /> t� U I Z <br /> ERDd9ae EIId:y�Pr7y , t0' aq_Iu: (0000(a49(�/ �'� <br /> ri5:n44AhIlefP. 13S3-Tu,.-AWj-fC'05iy5LZ atnt <br /> Received Time Oct. 13, 2014 4:4§PM No. 73211D9�1y �O)� coaD3�soz(r p(s,or)onu�rror�zcfuFf <br /> LOODXTOO(pt 50No)� t( 2Esb�i/t/1YoMdu3�1/C��PI�e✓I4NAIlQ�bozh� <br />