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■� 09117/2013 17:19 0X) P.001/001 <br /> ■ <br /> EHD LOG NUMBER <br /> � <br /> DA IL ��++�+'� SAN JOAQUIN COUNTY <br /> r 1ENVIRONMENTAL HEALTH DEPARTMENT <br /> � 8 <br /> 013 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATEIZIP: Stockton / CA/ 95215 <br /> PHONE(1): 209-487-1008 PHONE (2): 209-623-7200 FACSIMILE: 209-467-1118 <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 EXPEDITE low $125 FEE(CASH O ECK LY)-R QUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List[:] Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street Stroat Nams - city ✓ounitI <br /> 1• 1201 North GorydeAvenue Aam owl <br /> 2• 1203 North Gertrude Avenueo kton o I �� unk2 � <br /> 3• 1275 North Gertrude Avenue oak on <br /> 4• 1448 Shaw Road Stockton <br /> � T Z I uM <br /> . 2 Shaw Rgad Stockto <br /> niMt <br /> /ty <br /> 6 1113 Shaw Road Stockton e 14-41) / nt4 <br /> 4343 East Fremont Street S ock c n M T A1 <br /> e 4801 Nadottl Road I Stockton d NO Units <br /> s. 155 North Ggdmde Avenuem No c0ly f <br /> 10. []Dnit a <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x UNDERGROUNDTANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT X SOLID WASTE FACILITYNE CI;E,+y l- <br /> X OTHER CLEANUP SITE(NON•LOP) H FOOD FACILITY BWASTETIRE Il,l 71'G2,._� <br /> M UNDERGROUND TANK(MONITORINGIREMOVAL)'L. [_1 DOG KENNEL El DAIRY JAI <br /> MHAZARDOUS WASTE GENERATOR,f- ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT \VL-A <br /> I TIERED PERMITTED FACILITY ro. MOTeUHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIEIODYPIERCINO POOLISPA ®LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY El COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND$BPTIC PORMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:00PM(EXCLUDING HOLIDAYS) <br /> C List up to ten addresses In the apace above. Select the type(s)of files from the list above by checking the appropriate <br /> box(ea). At least one file type MUST be selected. Fax to!2091464-0138 or mall to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applicatlona received after <br /> 3:00 pm will be proceased the next buelneas day. <br /> 2. The EHD will nodi Qq almately ten(10) <br /> days after receipt _� ���✓ " Yr�Va �y �f 1n��/?t polntments <br /> should beschedul �Ws y4 -5- 010`7 (de- 3`i3Fiwma�)0L <br /> 3. A file that Is active _ --fIlcatlon may be <br /> submitted when th - ;i2jg q f foo ►Z phot,) 1Z7 SGee- �• <br /> 4, Any flie not returns ',5, , b 4. ._ he applicant. <br /> Future file revlewa "- I4UFSh Cp00- i47l . 5 �n IitAyli(2 1icgat <br /> �- <br /> ) t —Hwh(e a 15101(0 l- 432 'F. <br /> g, g ttntwai <br /> Ic1 t"2 for 4 4� Frem0il+ f1+VIN 1 e,5e? <br /> ellp�eae _ ++ <br /> 10'1-1?,' rove 0'ri 1: a WltlAbfo110ov,nq Irs T d•I <br /> Received Time Sep. lu49 Shari' o-L)5TLi3N3Irein�Tt Y�f�✓ <br />