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09/17/2013 17:19X) P.001/001 <br /> ■ <br /> ■■ D ��A� IVRsa+���++e, <br /> SAN .10AQUIN COUNTY EHD LOG NUMBER <br /> ■ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 0' <br /> 1888 East Hazelton Avenue, Stockton, CA 85205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: wvvw.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton /CA/95215 <br /> PHONE(1): 09-467.1008 PHONE (2);.2Q9_-_Q21-720Q FACSIMILE:_209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE:_ASAP Time: <br /> (Plunge allow 10 business days from date of application submittal-'Tentative only-must be conflrmed) <br /> ❑CHECK BOX TO EXPEDITE ES'T $125 FEE(CASH 0 ECK LY)-R QUEST PROCESSED IN$BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE ,'e <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Stmat M Strout Nam& - city <br /> 1. 1201 <br /> Unit 1 <br /> 2 1 N r Avenue dMM ocoll <br /> 2. 1203 North Gertrude Avenue Stockton Lb �� unit2 <br /> 3 1275 North Gertrude Avenue ock on l >J <br /> 4. 1448 Shaw Road Stgckton 4JN>) -W Nffiffir, A/Unit <br /> "L 6• 2 Shaw vl r7tnt lay <br /> Te 1113 Shaw Road Stockton ' nt4 <br /> 7- 4343 East Fremont Street -Stockton M T Al <br /> a- 4801 Nadottl Road Stockton N / units <br /> 9- 1155 <br /> —N—orth Gertrude AvenueM No c0(h <br /> 10. p Unit a <br /> Specific Date Range of Informatlon Requested; From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUNDTANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT X SOLID WASTE FACILITYIVEy0 <br /> X❑OTHER CLEANUP SITE(NON-LOP) LjFOODFACILITY WASTETIRE ,(- L1"Zy <br /> 0 UNDERGROUND TANK(MONITORINGIREMOVAL)rL_ ❑DOG KENNEL Q DAIRY 1 J <br /> x❑HAZARDOUS WASTE GENERATOR,/ ❑CHICKEN RANCH ❑WASTEWATERTREATMENT PLANT XV V'3 <br /> x❑TIERED PERMITTED FACILITY 0�_ MOTELIHOTEL [❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOO/90DY PIERCING POOUSFA ®LAND U6E APPLICATION SITES <br /> ❑ MEDICALWA$TBFACILrIY O COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WEU.AND S13PTIC PERMIT RECORDS ARE AVAJLA13LE FOR REVIEW: MONDAY-PRIDAY 5:00 AM-6:00PM(EXCLUDING HOLIDAYS) <br /> 1: List uD 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 aelected. Fax to(209)454-0138 or mall to the addreea Indicated above. Address <br /> ranges will not be accepted-far additional assistance with file addresses,contact the END. Applicationa received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notltl �e /� d�7I ,�,, Klmately ten(10) <br /> days after receipt�_er-30'13 ' Pf0 LX(¢�� G,YJP11 rl Q 0i 25 Qf_ i AC;d.&17t_ polntments <br /> should be schedul #s yt55_ 010'7 (or -3 3 Fnaw'"0,rf)d #p0614�1q <br /> 3. A file that is active ' --- tllcatlon may be <br /> submitted when th q 05 IUo t-tph - IZ7 57 Gen e_- <br /> 4, Any file not returns ' g i b /' <br /> he applicant. <br /> Future file reviews <br /> _ )uu sal . � rAFlesa7at <br /> t lw h e s log a wta ! I <br /> Icli1✓rs 4 43 Freino�7+ d v)rn f 1 1 a e se <br /> EHO AO-00 ( 5 a/1111 <br /> ,IOV e Gro t.w. u WON Fnl ow.nq rs 7 aLl}lA) i <br /> Received Time Sep, lu`18 Sha LJ5-rj ' yL 45h-&nO.7f. "6 <br />