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Aug, 18. 2005 6:43PM Ads nced GeoEnvironmental No, 1762 P. 1 <br /> - 0i EHO LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> WEC`EEP` F,,ID ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 Fast Weber Avenue,3d Floor, Stockton,CA 95202-2708 r <br /> Mir, I ,) 2005 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.orgtehd "J1 <br /> ENVIRONMENT HEALTH , PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: , 9 ne Henderson SUSINESSIAGENCY: Advanced GeoEnvironmental,Inc. <br /> ADDRESS: 837 Shaw Road Stockton CA 95215 _ <br /> PHONE(1): 209467-1006 PHONE(2): Coll:209-712-2278 <br /> 8-4 <br /> 22778 FACSIMILE: 2067-1118 <br /> TENTATIVE'APPOINTMENT DATE: 0? a44N^ -N OYJDS Tim: �O �oo Q�en <br /> (Please allow 10 burin ys Irom date of apps- ion submittal-•Fentadve only-must De oollargm) ready <br /> tr.. <br /> ® CHECK BOX TO EXPEDITE QUES -$9 ,00 FEE(C H R CHE K ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE es <br /> UNIT DISTRIBUTION 13Unn1 JrUnK2 404U.K3 mt4 OUmta 11 UnItS 0 Othei(e4drOnidlis mope) <br /> FILE ADDRESS <br /> Sum# S~Name CNy .+ O <br /> 1. b. For a S C19 to r"- <br /> z. o 50 n <br /> 3. <br /> 4. <br /> 6. <br /> 8. <br /> 7. <br /> 8. u <br /> 9. <br /> 10. <br /> Spoeific Data Range of Information _ <br /> 00 UNDERGROUND TANK(UST)CLEANUP S —T • LE <br /> W OTHER CLEANUP SITE(NON-LOP) <br /> N UNDERGROUND TANK(MOMTORINOIREN <br /> 10 HAZARDOUS WASTE GENERATOR — ANT <br /> 0 TIERED PERmrmo FACILITY rOILEiS <br /> 13 TATTOOIBOOY PIERCING I <br /> 11 MEDICAL WASTE FACILITY <br /> WELLAND SEPTIC PERMIT RI. IDAM <br /> 1. List up to ten addresses in t Irking the <br /> appropriate 1. leas s <br /> a addres <br /> Indicated above.ove. Address r uses,contact <br /> the EHD.Applications recoil `-- <br /> 2. The EHD will notify the appU med <br /> approximately ten (10)days ve business <br /> days for review. Appointme <br /> 3. A file that Is actively being v A new <br /> application may be submittt - <br /> 4. Any file not returned in the i xpense Of the <br /> applicant. Future file revlev p. <br /> J <br /> Hm41-01-001 <br /> vane <br />