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--- Mar, 18. 2009 12:19PM Aivanced Geo.Envircnmental No, 4623 P. 1 <br />��� L�� <br />EHD LOG NUMBER <br />SAN JOAQUIN COUNTY <br />MAR 1 8 2009 ENVIRONMENTAL HEALTH DEPAM, I <br />J, <br />600 Fast Main Street, Stockton, CA 95202-3029 <br />ENVIRONNIELN ( HEAJHI Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www,Sjgov.or <br />PERM !TISERVICESZo/�\ 7 <br />PUBLIC RECORDS RELEASE APPLICATION "i <br />APPLICANT: Ally Colavita BUSINESS/AGENCY; Advanced GeoEnvircnmental <br />AODRI;S$; 837 Shaw Road, Stockton, 95215 <br />PHONE (1): 209-467-1006 PHONE (2): 483-3401 FACSIMILE: 467-1118 <br />TENTATIVE" APPOINTMENT DATE: Tlme' <br />(Please allOW 10 business days from date of application submittal - *Tentative only - must be confirmed) <br />CHECK BOX TO EXPEDITE REQE T - $ .00 E CASH 0R CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT (,(�� DATE o3/ls/o9 <br />Electronic Information: ❑ List ❑ Map — Description: <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES n <br />tM UNDERdROUNo TANK (UST) CLEANUP SITE (LOP) <br />ll HOUSING ABATEMENT <br />IM SOLID WASTE FACILITY/VEHICLE"t /-� <br />® OTHER CLEANUP SITE (NON -LOP) <br />❑ Foci) FACILITY <br />❑ WASTE TIRE l Lf'1 �� "✓ <br />IM UNDERGROUND TANK(MONITORINGIREMOVAL) <br />❑ Dots KENNEL <br />❑ DAIRY <br />® HAZARDOUS WASTE GENERATORp/\ <br />❑ CHICKEN RANCH <br />M WASTEWATER TREATMENT PLANT <br />0 TIERED PERMITTED FACILITY, <br />❑ MOTELIHOTEL <br />❑ PUMPER TRUCKIYARDICHEM TOILETS <br />ID TATTOO/BODY PIERCING <br />❑ POOUSPA <br />M LAND USE APPLICATION SITES <br />MEDICAL WASTE FACILITY <br />❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY -FRIDAY 8:00 AM-5:00PM - 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(os). At least one file type MUST be selected. F._ax.ta. (.209) 464-0138 or mall 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 applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) <br />days after receipt of application. The flies 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 $9$.00 deposit prior to review. <br />EHD USE ONLY <br />