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� 05114/2013 11:30 Advanced Gea viromental Inc. (FAX)209 4671118 P.0011001 <br /> ■ <br /> PE DATE RECEIVED <br /> EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> MAY .I. 4 teWphone: (209)468-3420 Fax: (209)464-0138 Web: www.sJgov.org/ehd <br /> e rIRO r kP EMT rr <br /> I'�t �v►.i/�I �Tvl4r2S PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced Geo Environmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton /CA/95215 <br /> PHONE(1): 209-467-1006 PHONI~(2): 209-623-7200 pACSIMILE: 209-467-1118 <br /> TENTATIVE"APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal.'TenfaUve only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE R UE T-$125 F E(CrHVK ONLY)-REQUEST PROCESSED IN3 BU (NESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List❑ Map--Description: <br /> FILE ADDRESS EHp USE ONLY <br /> i <br /> Street# Street Name city Unit 1 <br /> 1• 1120 E_ March Ln Stockton " <br /> •, 4915 Clowes St Stockton /1 0 Unit 2 �> <br /> 1205 l - E. March Ln Stockton <br /> 4StocktonWest Ln <br /> �, 1�tis��. kG' • 1 1 Y. `nit3 <br /> 6• Unit 4 <br /> 7. <br /> $• 0 Unit S <br /> 9. <br /> 10. -unit e <br /> Specific Data Range of Information Roqueatad: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 0 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUBINQ ABATEMENT D SOLID WASTE FACIL_ITYNEHICLE f J <br /> X❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY x❑WASTE TIRE �jy 1 l�f %U: t/J 1 I <br /> x❑UNDERGROUND TANK(MONITORINGIREMOVAL) ='--- ❑Doe KENNEL x❑DAIRY <br /> X❑ 72 <br /> HAZARDOUS WASTE GENERATOR,--'_ ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY,_,, ❑MOTEUHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILE s <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY 0 COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW:.MONDAY-FRIDAY 8:00 AM-S:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List un 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 Indlcated above_ Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END. 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 atter 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. Anyflie 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$128 deposit prior to vlaw. <br /> e ❑4"5 N <br /> Received Time May. 14. 2013 11 : 26AM No. 3101 <br />