Laserfiche WebLink
01/05/2005 09:56 20946713 - AGE STOCKTON PAGE 01/0 <br /> III V v � tHU LW PI <br /> ED SAN JOAQUIN COUNTY <br /> JAN 5 2005 ENviRONMENTAL HEALTH DEPARTMENT I <br /> 304 E Weber Ave 3rd Floor Stockton,CA 95205 <br /> EiJVIRONMENTA Hc&WDEPT8-3420 Fax: (209)464-0138 Web: www.eo.sanjoaquin.ca.us/ehd �1( <br /> PUBLIC RECORDS RELEASE APPLICA'T'ION <br /> --r`r`''�' <br /> APPLICANT: Vf� "—Wed"07 BUSINESS/AGENCY: Advanced GeoEnvironmental,Inc. <br /> ADDRESS:_837 Shaw Road Stockton CA 95215 Q <br /> PHONE:_209.467-1 FACSIMI� -0 - • � <br /> IVEe APPOINTMENT DATE: Q I 14 me: <br /> (Please allow 10 business days from date of application submittal) <br /> -„ J` ECK BOX TO EXPEDITE REQUE3 93.00 FEE—REQUEST ROCESSED IN 3 BUSINESS DAYS / <br /> SIGNATURE OF APPLICANT DATE y <br /> Department Use Only <br /> FILE AD[RESS UNIT <br /> X3 c LD ❑ Unit1 <br /> HU] Z. Shell <br /> 17 , c <br /> N'j HW svem .z35 WAfi�/7�{t>ra c S _r1DT JA`s [J El it \ry? <br /> Un' <br /> u5 s.. 9veec '�O Si • MIJ e <br /> 5-1— c Unit 4 <br /> Lsr a. S; 2 " to 7` iP pp`1 y q 'r7 <br /> e Suer c '�J4tY 1 4(N�it 5 <br /> 10. s eb <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> W UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT co <br /> ❑ SOL9D > FAILI�( " �'! �r <br /> W OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACILITY ❑ SOLID WAST VEHICLE) -J1' <br /> UNDERGROUND TANK(MONITORIN"EMOVAL) ❑ DOG KENNEL ❑ DAIRY t;J <br /> W HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ PKG TREATMENT PLANT <br /> ❑ TIERED PERMITTED FACILITY EDMOTEVHOTEL 13PUMPER TRUCKIYARDICHEM TOILETS <br /> O TATTOOBODY PIERCING 0 POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FA ❑ OTHER(PLEASE SPECIFY) <br /> 1. L,1ito r sses In the space above. Select the type(s)of files from the list above by checking <br /> tfi pproorlate box(es). At least one file type MUST be selected. Fax to(2091464 0138 or mail to the <br /> ad et's 1 ated above. <br /> 2. E D will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br /> approximately five business days but no later than ten(10)days after receipt of application. The files <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br /> application may be submitted when the file is avail+ble. <br /> 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$93.00 deposit prior to review, <br /> S. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> S. Applications received after 3:00 pm will be processed the next business day. <br /> CONFIRMED i4' TJAAE <br /> bAIb:GAIIiYIlMbty DNOE VAXINITtkL§ <br /> REVIEWED NO , t .'REVIEW.IDATE <br /> Fae..�aaaa I <br /> snnooa <br />