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DATE ncvclvcu- uv, V�Q7 EHII , I NUMBER <br /> E . <br /> SAN.�OAQUIN COUN'T'Y � <br /> n(�� �11 © ONMENTAL HEALTH DEPART1A.:3VT <br /> W E v 600 East Main Street, Stockton, CA 95202-3029$., 19 ( <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web: www.sj oY <br /> DE(: 0 6 2007 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> VI�F� Maria Carranza BUSINESSIAGENCY: Advanced GeoEnvironmental <br /> �y <br /> ADDRESS: 837 Shaw Road Stockton, CA <br /> PHONE(1): 209 467-1006 PHONE(2): 209 609-4067 FACSIMILE: 209 467 1118 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$98,00 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE J,2-5-67 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unb 1 <br /> 1. 20921 South Austin Road 6jE�5 pt Manteca <br /> y� 2, 9909 Bast Woodward -1 Manteca Unit <br /> 43.. k-1c3' ! '4voi tic <br /> nit 3 <br /> . <br /> __ _ .. ❑ units <br /> 89. <br /> Unit s <br /> 10. <br /> Specific Date Range rmation Requested: From to <br /> ENVIRONMENTAL HEALTH DEPART NT FILES <br /> IRTUNDERGROUND TANK(UST)CLEANUP SITE(LOP) QHOUSING ABATEMENT y<`SOLIOWASTE FACILITYNEMCLE <br /> THEA CLEANUP SITE(NUN-LOP) ❑FOOD FACILITY 0WASTE TIRE.NDERGROUND TANK(MONITORING/REMOVAL) Cl DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH 11 WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACLTY 173 MOTELIHOTEL 0 PUMPER TRUCK(YARDICHEM TOILETS <br /> TATTOO/BODY PIERCING 0 POOLISPA O LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY 0 0THER(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 apace 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(209)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 It 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 /> Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> EHD USE ONLY <br /> ono aeoa was azenooT <br />