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Aug , 18 , 2005 6 : 43PM Ad ; - iced Geo Environmental No , 1162 P. 1 <br /> DATE RECEIVED EHD LOG NUMBER <br /> I <br /> SAN JoAQuuv COT7NT1' <br /> ENviRoNMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3id Floor, Stockton, CA 95202-2708 <br /> b l I r' x n 2005 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd 19445 <br /> ENVIRONMENT HE1L111 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: t uz'enile Henderson BUSINESSIAGENCY: Advanced GooEnVlronmental, Inc. <br /> ADDRESS: . 837 Shaw Road, Stockton, CA 95215 <br /> PHONE (1): 209A67-1006 — PHONE (2): Coll; 209-712-2278 FACSIMILE: 209-467-1118 <br /> TENTATIVE" APPOINTMENT DATE: O? OdU 07005 Tim: PCdt � <br /> (Please allow 10 burin ys from date Of sppli ion submittal - "Tentative only - must be COI1Hrl11ed) y <br /> U+ . <br /> 113 CHECK BOX TO EXPEDITE QUER - $93.00 FFE (C H R CHE K ONLY) - REQUEST PROCESSED IN 8 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE ds <br /> UNIT DISTRIBUTION 13 Una 1 Unit 2 nit 9 nit 4 C3Unit 5 la Unit 6 13 Other (eleetroniellis mope) <br /> FILE ADDRESS EHD USE ONLY <br /> StreetStreotName City <br /> 1 . b Fpr^ Q C 0 <br /> 2. rRD0 FreMOATaS A) L <br /> 3, <br /> 4. <br /> 6, <br /> 8, <br /> 7. <br /> 8. <br /> 9. a <br /> 10. <br /> Specific Date Rangs of Information Requested: F - to <br /> ENVIRON ME AL HEALTH DEPARTMENT FILES <br /> R UNDERGROUND TANK (UBT) CLEANUP StTE (LOP) O HOt161NG ABATEMENT M SOLIDWASTE FACIUTrNEHICLE <br /> IQ OTHER CLEANUP SITE (NONwLOP) E3 FOOD FACILITY QWASTE TIRE <br /> R UNDERGROUND TANK (MOMTORINGIREMOVAL) O DOG KENNEL LU DAIRY <br /> IQ HAZARDOUS WASTE GENERATOR 11 CHICKEN RANCH 0 WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACIUTY ❑ MOTFLAIOTEL 11 PUMPER TRUCKIYAROICHEM TOILETS <br /> 11 TATTOOIBODY PIERCING 11 P00USPA ➢0 LAND USE APPLICATION SITES <br /> M MEDICAL WASTE FACILITY 0 OTHER (PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILAaLE 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 <br /> appropriate box(es). At least one file type MUST be selected. Fax to (20914644138 or mail to the address <br /> Indicated above. Address ranges will not be accepted — for additional assistance with file addresses, contact <br /> the EHD. Applications received after 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 <br /> approximately ten (10) days after receipt of application. The files will be held for a maximum of five business <br /> days for review. Appointments 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 <br /> application may be 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 <br /> applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br /> END 6402406 <br /> 1n4f06 <br />