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040812012 09:32 Advanced Gp-�nviromental Inc. <br />DATE RECEIVED . SAN .IOAQUIN COUNTY <br />IFA1n209 4671118 <br />P.0011001 <br />EHD LOG NUMBER <br />RECEIVED ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main St. Stockton, CA 95202-3029 <br />kfp $ 2012 Tel hone: (209) 468-3420 Fax, (209) 464-0138 Web: www.sjgov.orrg/o d S l <br />F ii 7& nd ' <br />ENVIRONMENTAL HEALTII <br />PERM.T/SERVI�FS PUBLIC RECORDS RELEASE APPLICATION <br />)IL <br />APPLICANT: Ally Colavita BUSINESS/AGENCY: Advanced GeoEnvironmental <br />ADDRESS: 837 Shaw Road CITY/STATEJZIP: Stockton /CA /93215 <br />PHONE (1): 209-467-1006 PHONE (2): 209-483.3401 FACSIMILE: 209.467-1118 <br />TENTATIVE` APPOINTMENT DATE: ASAP Time: <br />(Please allow 10 business days from date of application subml i-'Tentattva only- must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUEST • 1 6 E (CA OR CH NLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE 04/19/12 <br />■ List ■ Description: <br />�eEHD <br />USE ONLY <br />` fYfaYiliie=I <br />��' O r� <br />W'�=Imaj. <br />©M <br />�� <br />119 <br />�,Lj�l'i <br />...WM QAWAr te <br />Specific Date Range of Information Requested: From to V %% 5-4tl--/ 7 <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />�]C UNDERGROUND TANK (UST) CLEANUP SITE (LOP) "HOUSING ABATEMENT ❑ SOLID WASTE FACILITYNEHICLE <br />OTHER CLEANUP SITE (NON -LOP) 50o0 FACILITY ® WASTE TIRE <br />UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br />HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ® WASTEWATER TREATMENT PLANT <br />TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKNARDICHEMICAL TOILETS <br />TA7700I8OOY PIERCING ❑ POOIISPA ® LAND USE APPLICATION SITES <br />MEDICAL WASTE FACILITY ® 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 uo to ton addresses In the space above. Select the type(s) of files from the list above by checking the appropriate <br />box(es). At least one file type MUST be selected, Fax to (208)464-0138 or mail to the 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 applicant 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 Is available, <br />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,a...a file reviews by the acme applicant may require a $126 deposit prior to review. <br />5 f06) o` Go 7t1�6 i� f-eu d), WWI? �s Gt7©D �1 y PC � < <br />Ptq/11'.#.s Lo �q d•- tooD 3Rgo$ are �n t� t1WtiIE �i flolb�Eking. <br />I49 <br />