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Sep. 4, 2008 10:26AM Advanced Geo Environmental No- 3037 P. 1 <br /> DATE RECEIVED —. EHD LOG NUMBER <br /> RU ((�, ��� II, I� SAN JOAQUIN COUNTY <br /> L�'L^l�,L JOEL/ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Fax:Street, Stockton, 38 Web: 3029 <br /> SEP @ 4 2008 Telephone: (209)468-3420 Fax: (209)464-0138 Web:wwwsjgov.org/ehd 6311 102"ID's <br /> ENVIRONMENT HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> PER^` aria carranza <br /> APPLICANT: BUSINESSIAGENCY: Advanced GecEnvironmental <br /> ADDRESS: 837 Shaw Road City/State/Zip Stockton, CA 95215 <br /> PHONE(1): 209 667-1006 PHONE(2):209 353-6509 FACSIMILE: 209 467-1118 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> Mesas allow 10 business days from data of application submittal•"Tentative only•must be confirmed) <br /> 0 CHECK BOX TO EXPEDITE RE EES" <br /> -510 FE (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE `?'11--GF' <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> _.. - _.._ <br /> trent street Hama city <br /> 1 333 Carnegie Court Manteca OF NO(D/5P ❑ Unk1 <br /> - 400 IManteca Hof.industrial Park Drive MSf <br /> `1 <br /> 2' fTP o,�,�.r ❑ Unit2 <br /> 3 575 Industrial Park Drive Manteca P <br /> 4 1164 eeseemer Roa Manteca ' p2 OfA�"J <br /> q u5? D OE 0 Ole <br /> II 5� <br /> s nn,t 4 �J 0. <br /> 7, <br /> 8. .......... ...._... ❑ unit a <br /> 9. <br /> 10. unit 6 <br /> Am <br /> 3k it Me <br /> Specific Data Range of Information Requested: From to <br /> ��//� ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> t) NDERGRGUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT �9�(H.ID WASTE FACILITYNENICLE <br /> !�!!(r JTH'ER CLEANUP SITE(NON-LOP) �y C3 FOOD FACILITY ElWASTE TRE ^ <br /> .a�f�U DERGROUND TANK(MONITORNWREMOVAL)QC C3 Dog KENNEL E3 DAIRY <br /> CI XAIARDOUS WASTE GENERATOR ❑ONICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> C1 TIERED PERMITTED FACILITY ❑MOTELMOTEL ❑PUMPER Ta1CK/YARDICHEM TOILETS <br /> CI TATTOWBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACIUTY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box("). At least one file type MUST be selected. Fax to(209)464.0139 or mall to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Appllcations received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant It any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will behold for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A fila that is actively being worked on by EHD staff may not be Immediately available for review. A new application may be <br /> submitted when theme 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 ,.f <br /> Future file reviews by the same applicant may require a$105 deposit prior to review. 1 <br /> EHD USE ONLY `(P�t,A1 f'2 <br /> 9D0I -d 21 KO <br /> VIA. <br /> — S <br /> t7 AV <br /> f Q1 <br /> IQ ' NII I` <br /> EMD a8-0S 6 UBLI0 RECORDS RELEASE APP FORM <br />