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0210712012 08:27 Advanced GeoEnviromental Inc. IWAI)209 4611118 P.0011001 <br /> DATE RECEIVED SAN JOAQUIN COON�� l� crlu LUU NUMUhK <br /> RECENED ENVIRONMENTAL HEALTH DEPAR 0 <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> FEB 7 Z01ZTelephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTIi <br /> . py.RnmITISERVICES PUBLIC RECORDS RELEASE.APPLICATION <br /> APPLICANT: Ally Colavlta BUSINESS/AGENCY: Advanced GsOEnvlronmonto[ <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP:Stockton/CA/96215 _ <br /> PHONE(1): 209-467-1006 PHONE(2):209-483-3401 FACSIMILE.209.467-1118 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from dab of application submittal-"Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 F E(CA O HECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 02107/12 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHA USE ONLY <br /> street# street Name City ❑ Unit 1 <br /> 1. 1803 N.Funston Avenue Stockton <br /> 2. 1806 N.Wilson Way Stockton 016nit 2 <br /> "s. 1041 N.Wilson Way Stockton <br /> 4. 2007 N.Wilson Way Stockton units <br /> 6. <br /> 6' n Unit 4 <br /> 7. <br /> 8. <br /> Unit S <br /> 10. � C� L7 /2 94nits <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL.HEALTH DEPARTMENT FILE$ Q � <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®HOU81N0 ABATEMENT ®SOLID WASTE FACILITY/VEHICLE Aa <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY Z WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOO KENNEL E DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ®WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY ❑MOTWHOTEL PUMPER TRUCKNARD/CHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING L]POOLISPA ®LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ®COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PPRMIT RECORDS ARE AVAILABL9 FOR REVIEW: MONAAY-FRIDAY 8:00 Am-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. list up to tort addresses in the apace tlbove. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)4134.0138 or mall to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresaea,contact the EHD. Applications received atter <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant If any EHD flies exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application, The flles 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 EHI)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$125 deposit prior to review. <br /> EHD USE ONLY <br /> P 0.0d <br />