Laserfiche WebLink
04/1812012 09:32 Advanced GC-'nviromental Inc. IFAX)209 467 1118 P.0011001 <br /> DATE RECEIVED J SAN aJOAQUINCOUNTY EHOLOG NUMBER <br /> �RECEIVE ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> kfP 1 g �p)� Tele hone. (209)468-3420 Fm (209)464-0138 Web:www.-Igov.org/ohd <br /> ENVIRONMENTAL HF-ALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:Ally Colavita BUSINESS/AGENCY:Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton/CA 199215 <br /> PHONE(1): 209467-1006 PHONE(2):209483-3401 FACSIMILE:209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of applicatlon aubml I-*TenfetNe only-must be vo—n rmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST 5 ECA OR CH NLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 04119!12 <br /> Electronic Information: ❑ Llst❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street Strut Name City Unit <br /> 1. 991 CARNEGIESTREET MANTECA %tPfr11I-11 <br /> 2. 99S CARNEGIE STREET MANTECA <br /> J 3j N I f Ck 07 O-Z LO/tel <br /> �} N CD Will <br /> a. y��lo <br /> ElUnit A <br /> 7. tink JIZVZ <br /> gtJ <br /> 60 cEin--A <br /> h10z UVnnt <br /> Y <br /> 6 I? <br /> Specific Data Range of Information Requested: From to <br /> 14 <br /> ENVIRONMENTAL HEALTH DEPARTMENT PILES <br /> Q ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE y <br /> V ®OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY ®WASTE TIRE <br /> N ®UNDERGROUND TANK(MONITORING/REMOVAL) L]DOG KENNEL ❑DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ®WASTEWATERTREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPERTRUCKIYARDICHEMICAL TOILETS <br /> ❑TA7T00190nY PIERCING ❑POOL18PA ®LAND USE APPLICATION SITES <br /> Q C ® MEDICAL WASTE FACILITY ®COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> Q WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REIVIEW: MONDAY-FRIDAY 8:00 AM-6:OOPM(EXCLUDING HOLIDAYS) <br /> 1, List up to ton addresaea In the apace above. Select the type(s)of files from the list above by checking the appropriate <br /> box(as). At least one file type MUST be selected. Fox to(209)464-0138 or mail to the address indicated above. Address <br /> - N ^ 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 /> -4 2. The EHD will notify the applicant if any EHD files exist, An appointment for review will be confirmed approximately ten(10) <br /> a days after receipt of application. The files will behold 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 /> osubmitted when the file Is available. <br /> N 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> F......e His reviews by the same applicant may require a$126 deposit prior to review. <br /> o a <br /> N se v i} <br /> EHO a of Slob W /7f_As (AO©�1y I IZ <br /> rn pl w��f i.;[DI���v4w A4,64 1 n4,��}ii rt. / i 1016�Exing. v 'i I �' <br /> 00 3A 0 nr2 �„" <br />