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L,�-. zLt- z v v rlvl Navanceo heotnvI r o n m e n t a I <br />DATE RECEIVED <br />No. 6183 P. 1 <br />SAN JOAQUIN COUNTY E LOG NUMBER <br />E�EE�� '��1'11�� - <br />.IL� ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main St. Stockton, CA 95202-3029 % <br />4 2009 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd J <br />ENVIRGHM syr t -A`I TI! PUBLIC RECORDS RELEASE APPLICATION <br />PE PU46EW -1y colavi-a BUSINESS/AGENCY: Advanced Geo&nvironmenral, Inc. <br />ADDRESS: aa> Shaw Road <br />CITY/STATE/ZIP: Stockton <br />PHONE (1): zD9-467-IDo6 PHONE (2): :D9 -683-34c1 <br />TENTATIVF" APPOINTMENT DATE: ASAP <br />(Please allow 10 business days from date of application submittal - "Tantat/ve <br />FACSIMILE: 2o9-467-1116 <br />Time <br />must be Cenflrmed) <br />❑ CHECK BOX TO EXPEDITE REQUEST - $1 5 F E (C SH CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT /� <br />—�S /' DATE 12/24/09 <br />Electronic Information: ❑j List ❑ Map – Description: <br />Specific Date Range of Information Requested: From <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />Lr UNDERGROUND TANK (UST) CLEANUP SITE (LOP) <br />OTHER CLEANUP SITE (NON <br />❑ HOUSING ABATEMENT <br />-LOP) <br />❑ FOOD FACILITY <br />UNDERGROUND TANK (MONITORINGIREMOVAL) <br />L1DOG KENNEL <br />HAZARDOUS WASTE GENERATOR <br />❑ CHICKEN RANCH <br />❑ TIERED PERMITTED FACILITY <br />❑ MOTELIHOTEL <br />❑ TATTOOISODY PIERCING <br />ff*rMEDICAL WASTE FACILITY <br />❑ POOLISPA <br />❑ OTHER (PLEASE SPECIFY) <br />SOLID WASTE FACIUTYNEHICLE <br />�?%ASTE TIRE <br />❑ DAIRY <br />❑ WASTEWATER TREATMENT PLANT <br />❑ PUMPER TRUCK/YAROICHEMICALTOILETS <br />❑ LANO USE APPLICATION SITES <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 5:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br />1. List up to ten addresses In the space above. Select the type(s) of flies from the list above by checking the appropriate <br />box(as). At least one file type MUST be selected, Fax to (208) 464-0138 or mall 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 applicant. <br />Future file reviews by the same applicant may require a $116 deposit prior to review. <br />6. If you need further assistance, please contact Diane Martinez, at (209) 468-3426. <br />EHD USE ONLY <br />EHD 46.00 <br />