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r 07126/2013 13:58 . 1 '� �AX) P.0011002 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN .IOAQUINCOUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> t 1868 East Hazelton Avenue, Stockton, CA-95205-6232 05 <br /> �U� ( 201Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd q ' <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATE/ZIP: Stockton /CA/95215 <br /> PHONE(1): 209-467-1006 PHONE (2): 209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE`APPOINTMENT DATE: ggqp Time: <br /> (Pleaoo allow 10 business days from date of application submittal--Tonfallve only-must be Confirmed) <br /> ❑CHECK BOX TO EXPEDITER UST-$125 FEE A OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1.16. 13 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street Street Name city �j. Un <br /> lt1 <br /> b 1 FFt <br /> 2. 2 --vu iA i nit2 <br /> 3. 0)4ik3tna�`�_ No w0( <br /> 4' 3 NY Unit 3 <br /> IA�mer Ln q1tDIUA15y) (410e Unit <br /> 7. A16in Caylat ,N�v- R%T NOuJ Unite L <br /> a. Aw%�Drl 11 <br /> IWly <br /> 10, -'I e L ' uZ tt) 1 s finita <br /> $pocIfIc Date Range of information Raquaatod: From all _._ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUNDTANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT M SOLID WASTE FACILITYNEHIC //'' <br /> x❑OTHERCLEANUP SITE(NON•LOP) ❑FOOD FACILITY ❑x WASTE TIRE �,� {1/�'j1/"Ll✓7l I <br /> 0 UNDERGROUND TANK(MONITORIND/REMOVAL)jC.._ ❑DOG KENNEL d DAIRY ( b-I <br /> Q HAZARDOUS WASTE GENERATcRcj ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> x❑TIERED PERMITTED FACILITY Ix. ❑MOTELJHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA ❑x LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY O COMPLAINT RECORDS - ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:OOPM(EXCLUDING HOLIDAYS) <br /> 1• List un to ten addresses in the space above. Select the type(a)of files from the list above by checking the appropriate <br /> box(es). At least one file typo MUST be selected. Fax to(2091484-0138 or mail to the address Indicated above. Address <br /> ranges will not he accepted-for additional assistance with file addresses,contact the EHD. Applications reCelved after <br /> 3:00 pm will be processed the next business day. <br /> 2. The END will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(1D) <br /> days after recalpt of application. The files will behold for a maximum of five buslnsas 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 he <br /> submitted when the file Is available. <br /> 4. Any file not returned In the same condition as released will be reorganized by END staff attha expense of the applicant. <br /> Future file reviews by the some applicant may require a$125 deposit prior to review. <br /> y EHD USE ONO <br /> (' Ui C- f0 M1J i LQJ / n <br /> / 10il M COpD 5 ;n i15 <br /> E11D49-05 k'.Ie r '1310 )(,Nos• 5afC (Pr SIO J anrtl <br /> Received Time Jul, 26. 2013 1 : 54PM No. 3696 <br />