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U Iluorcu I 0 !u.I (f AX} P.0011001 <br /> ■ <br /> Er" EHO LOG NUMBER <br /> I. SAN JOAQUIN COUNTY <br /> AN 0 8 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 952056232 <br /> ,NV1R0NMENTALj6vAon9: (209) 468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br /> PERV11TISER9110ES 0 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advan • -d Gen F nviron mental <br /> ADDRESS: _837 Shaw Road CITY/STATE/ZIP: Stockton / CA /9521 <br /> PHONE (1): (209) 467-1006 PHONE (2):(209) 623-7200 FACSIMILE: (209) 467-1118 <br /> TENTATIVE'APPOINTMENT DATE: 041ap Time;_ <br /> (Please allow 10 business days from d to of application submittal-•rantHW o only-must bo confimted) <br /> ❑ CHECK BOX TO EXPEDITE T $125 FEE(GASH E K Y)- QUEST PROCESSED IN 3 BLJSINEDAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ LIst❑ Map--Description: <br /> FILE ADDRESS FHD USE ONLY <br /> Street# Street Name City Unit 1 <br /> 1. 4236 S State Rt 99 E Frontage Rd Stockton <br /> 4236 Highway 99 or S Hwy99 Stockton i Unit <br /> 3. 4520 Highway 99 <br /> I� <br /> 4. 9 Clark Dr '� I11��(�-� 4� Unit <br /> 6. Unit 4 r <br /> 7. \ <br /> 8. <br /> Unit 6 <br /> 9. <br /> 10. ' <br /> p <br /> Unite <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Q <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING AHATR1ENT Q SOLID WASTE FACIL.ITYNEHiui: <br /> x❑OTHER CLEANUP SITE(NON-LOP) El FOOD FACILITY QWASTE TIRE ( (tte f 4� <br /> ❑UNDERGROUND TANK(MONITORINGIREMOVAL) EI KENNEL ❑DAIRY V 5 <br /> x❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT _ <br /> ❑x TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUiSIERTRUCKIYARDICHE.MICALTOILETS <br /> ❑TATTOWBODY PIERCING ❑PODUSPA x❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY N COWLAINTRECORDS ❑OTHER(PLEASES PLCIM <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:OOPM(EXCLUDING HOLIDAYS) <br /> 1. Ust up to ten addresses In the apace above. Select the typa(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0138 or mail to the address Indicated 0-Qvi Address <br /> ranges will not be accepted•for additional assistance with file addresses, contact the EHD. Applications received atter <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD flies 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 @ctively 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 applicants <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> EHD USE ONLY <br /> It "1.��.. M 20 l-la, =1h I`f;,a t./�." e �i:� <br /> t Viz. t-�-{-�i 1 VN/ (j>' �► z0 Nw, <br /> ens ae oe �r���rlLe�l W� v# 1=►"�� �ti G,r �t1 �. I l�,��\C k=ol e Rc�.) t r°���hie twt fy t�1l11 <br /> Received Time Jan. 8, 2015 10 : 03AM No- 7865 <br />