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o❑ 01/22/2015 16:07 (FAX) P.001/001 <br /> 1 1 <br /> I ❑ <br /> 13 DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ❑ ';�� ENVIRONMENTAL HEALTH DEPARTMENT FL--:1(r'; U <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 rh <br /> JAN 2 3 20%elephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd ca <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:AdVanCedQeOE nVjrOn Mental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:-Stockton /CA/ 95215 <br /> PHONE (1): 209-467-1006 PHONE(2):209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of appllcaUon submittal-•Tantar/vo only-must be conFlrmed) <br /> [_-] CHECK BOXTO EXPEDITE RE 3125 FEE;(;n CHC -REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT WWA DATE,. <br /> Electronic Information: [f List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City - Unit 1 <br /> I. 1947 East Channel Street Stockton <br /> 2. 1950 Miner Avenue Stockton 09n 0 Unit i <br /> 3• 2150 East Fremont Street Stockton <br /> 4• 103 North E Street Stockton El uit3 <br /> 5- 36 D Street Stockton <br /> 6• 124 North E Street Stockton El Unit <br /> 7• 11 South A Street Stockton <br /> a. 1750 East Channel Street Stockton Q Units <br /> 10. -'Lfnit 6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT Q SOLID WASTE FACIMIVEHICLE <br /> Qx OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY (]WASTETIRE <br /> UNDERGROUND TANK(MONrrORINQIREMOVAL) []Doe KENNEL 0 DAIRY <br /> Qx HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPFRTRUCK/YARDTHEFACALTOILETS <br /> ❑TATTOO113ODY PIERCING ❑POOUSPA FX1 LAUD USEAPPUCATION SITES <br /> ❑ MEDICAL WASTE FACILITY [E]COMPLAINT RECORDS [I OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:0OPM(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(208)4&4-9132_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 navlaw 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. Afile 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 EHO staff at the expense of the applicant <br /> Future file reviews by the some applicant may require a$126 deposit prior to review. , <br /> ,`ri^f ����) � r."t � ,�' i�. /F'1.;�1��.!/_�(.t�. U .�-•_.,�_END�JSE�O�Y' 1G•'./1r1.� �I'1. /�.L..%I � !:(.-v. 7 / T�_ 1.��'72: <br /> Received Time Jan, 22. 2015 3:59PM No. 7944 <br />