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Feb. 10, 2010 10: 14AM AIva.nced Geo[nvironmental No. 6397 tPw. 1 <br /> DATE K (;tlVtu ., u NUMBER <br /> (�( t AN JOAQUIN COUNTY EMC <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> FEB 1 0 2010 Telephone: (209) 468-3420 Fax: (209) 464-0136 Web: www.sjgov.org/ehd <br /> ENVIRUWENT HEALTpyNj <br /> H <br /> 4 IgM4dS RELEASE APPLICATION <br /> PERM!Ij0L11v1UL_UAPPLICANT: ALLY COLAVITA -A BUSINESS/AGENCY: ADVANCED GEOENVIRONMENTAL, INC <br /> ADDRESS: 837 SHAFT ROAD CITY/STATE/ZIP: STOCKTON <br /> PHONE (1): 209-467-1005 PHONE (2); 209-483-3401 FACSIMILE: 205-457-1118 <br /> TENrArIVE'APPOINTMENT DATE: ASAP Time, <br /> (Please allow 10 business days from date of application&ubmlttal-"TenWive only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$115 FEE( S OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAY <br /> SIGNATURE OF APPLICANT G ; �+ DATE o2/10/l0 <br /> Electronic Information; ❑ List F1 Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# _ Street Name City Unit 1 <br /> 1• 145 - NORTH F STREET AL-E STOCKTCN _ Nil <br /> 2. 149 NORTH F STREET STOCKTON <br /> i0 Unit2 3;co <br /> 1 <br /> 3• 2435 RAST WEBER AVENUE STOCKTON � � � 1 � <br /> 4, 124 NORTH E STREET STOCKTONZUnita <br /> 5- 4171 INDUSTRIAL IAL WAY _ TRACY l '�� .1000 r\\ <br /> s' 4�31 INDUSTRIAL WAY TRACY �p ►�A Unit.4 <br /> ._ <br /> 7' 4110 INDUSTRIAL WAY TRACY — Uj C L Ivj W <br /> 8. <br /> 0 Unit 5 <br /> 9 ` <br /> �- <br /> 110. <br /> Unit 6 <br /> Specific Date Range of Information Requested: From y ;., to <br /> ENVIRONMENTAL HEAD DF <br /> t6ARTMENT FILES 10 <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ®SOLID WASTE FACILITYNEHICLE � <br /> OTHER CLEANUP SITE(NON-LOP) ©FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> HAZARDOUS WASTE GENERATOR a ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTELIHOTEL E]PUMPER TRUCK/YARDICHEMICAL TOILETS f <br /> F-1TATTOOIBODY PIERCING ❑POOUSPA L]LANE)USE APPLICATION SITES .ri/ ii,1I! <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 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 mail 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 appllcant 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 reviews by the same applicant may require a$115 deposit prior to review. <br /> 5. If you need further assistance,please contact Diane Martinez,at(209)468-3425. <br /> i, EHDD USE ONLY ',, y <br /> -I r �t- Vim'• <br /> - V G <br /> EHD 40-06 9/27109 <br />