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nm 1011112012 17:04 Advanced GeoEnviromental Inc. (FAX)209 4671118 P.0011001 <br /> N:ATE RECEIVED ` Y._�. ` EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT ' <br /> , F 600 East Main St. Stockton, CA 95202-3029 : <br /> 3 `?,V?'elephone: (209) 488-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd , \ ✓,!� <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY:Advanced GeoEnyironmental <br /> ADDRESS: 837 Shaw Road CITYISTATE/ZIP:Stockton I CA/95215 <br /> PHONE(1); 209-467-1006 PHONE (2):209-623-7200 FACSIMILE.209467-1118 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal-"Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITER ST-y125 FEE R CHE ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGMATURE OF APPLICANT DATE loff- /a <br /> Electronic Information. ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> l Street 0 Street Name Cit <br /> / y r�\ Unit 1 <br /> 1. 2850 Loomis Road Stockton tdS Ill <br /> �I 2. <br /> FfUnit 2 <br /> 3. 011 91 Oft- <br /> 4. p;Unit 3 <br /> 6• Unit 4 <br /> 7. <br /> 6. <br /> El'y 6 <br /> 10. / <br /> p Unli 8 <br /> Specific Date Range of Information Requested; From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Z HOUSING ABATEMENT ®SOLID WASTE FACILITYIVEHICLE Y� <br /> OTHER CLEANUP SITE(NON-LOP) ❑FoOD FACILITY ®WASTE TIRE �J�l Ccs ��j1)Imo• <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) k�- ❑'DOG KENNEL ❑DAIRY ,/►I I�i j _ I��l G <br /> ®HAZARDOUS WASTE GENERATOR V/A ❑CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPERTRUCK[YARDICHEMICALTOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA ❑LAND U3E APPLICATION SITES <br /> ® MEDICAL WASTE FACILITY ®COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMrr RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. Urit un to ten addres$e9 in the space above. Select the type(s)of files from the flet above by checking the appropriate <br /> box(os). At least one file type MUST be selected. Fax to(209)464-0138 or mall to tho 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 appilcant 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 EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file le available. <br /> 4. Any file not returned In the same condition as released will be reorganized by E:HD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> EHO USE ONLY <br /> `Rece-i-ved Time Oct. 11. 2012 5: 01PM No, 1367 8!1111 <br />