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)Ajt. las"4' IrIVI Ha Van c e a U e o t n v l r o n m e n i ai N0. ZIL7 EHCr�.._NUMBER <br />rl V �$AN JOAQU[N COUNTYENVIR SNTAL HEALTH DEPAIRTMET. <br />JUL 2 3 2008 600 East Main Street, Stockton, CA 95202-3029 /� <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgo . /el <br />SAN J <br />oAOUIN COUNTY f <br />uc NYyRL,N MuNMA NT PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Robert Marty <br />BUSINESS/AGENCY: Advanced GeoEnvironmental, In <br />ADDRESS: 837 Shaw Road, Stockton, CA <br />PHONE(1): 209-467-1006 PHONE (2): 209-323-6499 FACSIMILE: 209-4671118 <br />TENTATIVE` APPOINTMENT DATE: Time: <br />(Please allow 10 business days from data of application submittal - "Tentat/ve only - must be confirmed) <br />® CHECK BOx TO EXPEDITER ST - (CASHO K ONLY) - REQUEST PROCESSED IN 3 BUSINEF DAYS <br />SIGNATURE OF APPLfCANT r DATE <br />Electronic Information: <br />❑ List ❑ Map - Description: <br />99 OTHER CLEANUP SITE (NON -LOP) <br />❑FOOo FACILITY <br />® UNDERGROUND TANK(MONITORINGIREMOVAL)V_ <br />ODOG KENNEL <br />® HAZARDOUS WASTE GENERATOR tx. <br />❑ CHICKEN RANCH <br />FILE ADDRESS <br />O MOTELIHOTEL <br />EHD USE ONLY <br />❑ POOL/SPA <br />0 MEDICAL WASTE FACILITY <br />E3 OTHER (PLEASE SPEC <br />Street # <br />_. <br />Street Name <br />_ <br />City <br />Stockton <br />❑ <br />Unit 7 <br />1, <br />1617 <br />west Fremont Street <br />2 <br />612 <br />North <br />West <br />Buena Vista <br />Fremont Street <br />Stockton <br />Stockton <br />U5T02 I. ES, co/� <br />❑ <br />unit <br />3 <br />1414 <br />4, <br />601 <br />East <br />Main Street <br />Stockton <br />&/!j <br />Unit <br />Unit4 <br />6... <br />7. <br />ElUnit <br />S <br />8. <br />9. <br />—----- <br />Unit 6 <br />10, <br />Specific Date Range of Information Requested: From <br />All <br />to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />0 HOUSING ABATEMENT <br />99 OTHER CLEANUP SITE (NON -LOP) <br />❑FOOo FACILITY <br />® UNDERGROUND TANK(MONITORINGIREMOVAL)V_ <br />ODOG KENNEL <br />® HAZARDOUS WASTE GENERATOR tx. <br />❑ CHICKEN RANCH <br />17 TIERED PERMITTED FACILITY <br />O MOTELIHOTEL <br />❑ TATTOOIBODY PIERCING <br />❑ POOL/SPA <br />0 MEDICAL WASTE FACILITY <br />E3 OTHER (PLEASE SPEC <br />7� <br />El SOLID WASTE FACILIT EHICLE <br />O WASTE TIRE <br />DAIRY <br />O WASTEWATER TREATMENT PLANT <br />PUMPER TRUCK/YARDICHEM TOILETS <br />O LAND USE APPLICATION SITES <br />WELLANo3EPTic PERMIT RECORDS AREAVAILABLE FOR REVIEW - MONDAY -FRIDAY 8:00AM-6:00PM - ExCLUDING HOLIDAYS <br />LkA I I If0vla <br />lc -5 <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(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 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 applicantt <br />Future file r9VIOWs by the same applicant may require a_$98.06 deposit prior to review. <br />EHD URF. CINI Y <br />'�iti?riq of ...y ntirnewztr�r.rarrr,saT(/►.LTI�_3.-�n'7fii'I/.ri: ''..ILM ,mziy.7)'' <br />r /�'It/•1�Pss <br />