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DATEAE C7 9NE9,d <br /> (FAX) P.0011001 <br /> �■■ SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ■ ■ FEB 2 ' a� ENVIRONMENTAL HEALTH DEPARTMENT <br /> ■ <br /> 1568 East Hazelton Avenue, Stockton, CA 9520876232 . <br /> Telephone: (209)468-3420 Fast: (209)484-0138.Web:vAvr .Sjgov,org/ehd <br /> ENVIRONMENTAL HEALTH• PUBLIC RECORDS RELEASE APP LICA7toN <br /> APPLICANT: Rebecca Natal BLISINESS/AGE.NCY:Advanced GeoE=nvImnmentaI Inc. <br /> ADDRESS: $37 Shaw Road CITYISTATE/ZIP:Stockton, 95215 <br /> PHONE (1): 209-467-1006 PHONE(2):209-623-7200 FAX OR E-MAIL; rnatal advgeaenv,com <br /> Please allow 10 business days from date.of application submittal for the records,to be available, <br /> Staff wlll contact you to arrange an appolntment date and time to review the requested records. <br /> [] CHECK BOX TO EKFE TE REC�UEST-$13 EE(CASH R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE.OF APPLICANT DATE 02/21/20IS <br /> 1. List up to ten addresses in t e space below. S act the pe(s) of files from the list below by checking the appropriate <br /> box(es). At least one file type MUST be selected. to(20$1464-0138 to th s Indl e." Address <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day, <br /> 2. For assistance In identifying the nature and content of EHD records, please contact EHD at the number noted.above, <br /> 3. The EHD will notify the applicant If any EHD filers"exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application, The files will be held for a maxlmurn of five business days for review. Appointments <br /> should be ischaduled accordingly, <br /> 4. Any file not returned In the Same condition as released will be reorganized by EI•tD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a $139 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:40 AM-5:UOPM(EXCLUDING HOLIDAYS) D <br /> Electronic Information: ❑ Lirt d,Map Descrlptien: <br /> Specific Dato Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS u '' �- I <br /> FILES <br /> EHD us �IYL <br /> ®UNDiA'SROUND TANK(UST)- Street# street Name. City <br /> Y. GLEANUP.9[TE(LOP) _ "''`7�. []CONSUMER <br /> XOTHERCLEANUPSire(NON-LOP) 7 322 West YOSeMite Ave Mant6c& <br /> HA�AROM%WASTE `, `y `� . <br /> ✓V� 0 DAINT <br /> I]TiEAEOPHRIVITTEDFACIUTY z 105 SOUth Wllp1N Ve Manteca <br /> R)ABOVEOR0UND <br /> TANK <br /> UST (MONITDRINO!REM DVAL)In �j��++ �` �,y�HA71RDOUS MATT-ALB 2V 0 }� t anteca !1i <br /> .nSPtLtIFiELBASE RESPONSE - + f f- <br /> ❑SOLID WAUri FAcarrr 1 VEHICLIF 4 WATER QUALITY. <br /> (--� <br /> FOoo PACILITY <br /> n POOLI SPA <br /> DAIRY 1 - ITE NiETIOAIIon. <br /> LAND USE APPLICATION$)TES <br /> ❑SEPTIo PUMPER TRUOK I - - - []HOUSING <br /> YAFW 1.CH3WCAL ToiLe8 & <br /> ❑WA9TEIYATFA TREATMENT PLANT - - <br /> [�Houu+Na AeaTEM �UPA <br /> ENT y <br /> ❑AADTEUHOTEL ��" tL <br /> ❑CHICKEN RANCH/0043 KENNEL <br /> F1 MEDICAL WASTE FACRCUPA-USTrTY B <br /> ❑TATTQQ48 OY PIERCING - f, <br /> .iX WASTE T)Rfi - U SOLID WA$71 <br /> 1�1 COMPLAINT 9' <br /> ❑ <br /> 07HER(PLEA9E 9PEDlFv,l; <br /> 10 []A¢couxTike <br /> —80E0 AREA-EHD U§E ONLY— <br /> Received Times' b, 21. _�2010r� 4: 03PULtNo, 3096 <br /> EHD 4A-0e <br />