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Feb. 10. 2010 10: 14AM AdvdOCed Ge0E0YIrormntdl N0. 6397 EHG wuNUMBER <br /> DATL HHtutivtu <br /> I SAN JOAQUIN COUNTY ,, <br /> HEMMED ED tNVIRO MENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> FEB 1 0 2010 Telephone: (209) 468.3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ENVIRONMENT HEALTH 141ftfdS RU-EASE APPLICATION <br /> APPLICANT: ALLY COLAVITA on 51 0II BUSINESSIAGENCY: ADVANCED GEOENVIRONMENTAL, INC <br /> ADDRESS: 837 SHAW ROAD ,-r CITYISTATEIZIP: STOMON <br /> UP <br /> PHONE(1): 209-467-1006 PHONE(2): 209-463-3401 FACSIMILE:209-457-1118 <br /> TENrATIVE'APPOINTMENT DATE: AsAF Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ®CHECK BOX TO EXPEDITE REQUEST-$115 FEE((;AS OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAY <br /> SIGNATURE OF APPLICANT LY�� DATE 02/10/10 <br /> Electronic Information: ❑List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street# street Name Ciry 171 Unit <br /> 1, 145 NORTH F STREET STOCWMN AV iI <br /> /ts i 2• 149 NORTH F STREET STOCKTON - • ❑Unit 2. 3� <br /> 3' 2435 EAST WEBER AVENUE STOCKTON W 5 I 0 <br /> 4• 124 NORTH E STREET STOCKTON L/ S Units <br /> [7. <br /> • 4171_ INDUSTRIAL WAY _ TRACY <br /> 4131 INDUSTRIAL WAY TRACY fJ 0 / Unit44110 INDUSTRIAL WAY TRACY (A OZ NoUnit 5 <br /> . - <br /> 000, <br /> 10. 4e <br /> Unit e <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL H LT}1 Q <br /> .&PARTMENT FILES \^ <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATE NT ®SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE I vt <br /> ®UNDERGROUND TANK(MONiTORINGIRENOVAL)C" ❑DOG KENNEL ElU <br /> DAIRY <br /> ®HAZARDOUS WASTE GENERATOR a ❑CHICKEN RANCH []WASTEWATER TREATMENT PLANT <br /> �j TIERED PERMITTED FAGILrTYp` ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS r <br /> ❑TATTODIBODY PIERCING ❑POOLISPA ❑LAND U6E APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAY$) <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(2091464.0138 or mail 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 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 actively being worked on by END 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$115 deposit prior to review. <br /> 5. If you need further assistance,please contact Diane Martinez,at(209)468-3425. <br /> END ME ONLY <br /> W. <br /> 19 <br /> 02 <br /> CHD 48 06 07/06 <br />