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lV­ Ubi[b1ZUIL Ud:SU Advanced GeoEnviromental Inc. TAX)209 467 1112 P.001/001 <br /> ■ <br /> I■■ • <br /> 1 ■ DATE RECEIVED EHD LOG NUMBER <br /> 1% SAN JOAQUIN COUNTY <br /> RE ) ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .y id 2 �Ta�"hone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/eh <br /> ENVIRONMENTALI17SRV HEAt�y�BLIC RECORDS RELEASE APPLICATION <br /> PERM3i'/SERV! .E� <br /> APPLICANT: Ally Colavita BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE2IP: Stockton /CA/ 95215 <br /> PHONE (1): _209467-1006 PHONE (2): 209-483-3401 FACSIMILE:_ 209-467-111.8 <br /> TENTATIVE"APPOINTMENT DATE:_ASAP Time: <br /> (Please allow 10 buslness days from date of application submittal-°Tentadve only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$1 b�2C�A�SOR CH ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT. DATE 06/26/12 <br /> Electronic Information: ❑ List❑ Map--Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 4 Street Name Clry 42 Unit 1 <br /> 1• 2361 E. Weber Ave Stockton 1v�? <br /> 2- 2375 E. Weber Ave Stockton <br /> — - --- - –---- –– ... Unit 2 <br /> 3- 2391 E. Weber Ave I Stockton r- <br /> S. 2400 E. Weber Ave Stockton nIt3 <br /> 2435 E. Weber Ave Stockton 1-i�%� • ,b, k)Ti <br /> ®• 2438 E. Weber Ave Stockton Unit <br /> 7- 2476 E, Weber Ave Stockton <br /> 8• 132 N. F Street Stockton <br /> 171 Unit B <br /> g• 145 N. F Street Stockton <br /> �0 149 N. F Street' Stockton t-11,V to <br /> specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILE$ <br /> 0 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑x SOLID WASTE FAdLITYIVEHiCLE <br /> k❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY Q WASTE TIRE <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL).'--_. ❑Doo KENNEL DAIRY _ <br /> HAZARDOUS WASTE GENERATOR ❑CHtCKEN RANCH � I Z <br /> ❑TIERED PERMITTED FACILITY,"', ❑WASTEWATER REATME LANT <br /> ❑TATTOO/BODY PIERCING ❑MOTELIHOTEL ❑PUMPERTRUCKIYARWCHEMICALTOILETS <br /> ❑ MEDICAL WASTE FACILITY ❑POOLISPA ®LAND USE APPLICATION SITES <br /> ❑COMPLAINT RECORDS p OTHER(PLEASE SPECIFY) <br /> WELL AND Sep ric PERMIT RCCORDS ARC AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8.00 AM-5:00PM(ExCLUDING HOLIDAYS <br /> 1. List up to ten addresses In the apace above. Select the type(s)of flies from the list above by checking the approprlate <br /> box(ea). At least one file type MUST be selected. Fax to(2091464-0138 or mall to the addttieea Indicated above Address <br /> ranges will not be accepted-for additional assist9noe with file addresses, contact the EHD. Applications received after <br /> 3:00 pm will be proceased the next bualneas 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 reCelpt of application. The flies will be held for a maximum of five business day*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$129 deposit prior to review. <br /> i EHO USE 01,1Y <br /> - 9l <br /> EHp 4" <br /> iWI <br /> Received Time Jun. 26. 2012 8:47AM No. 0359 <br />