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01122/2015 16:07 !FAX) P.0011001 <br /> I ■ <br /> ■ <br /> I® DATE RECEIVED EHD LOG NUMBER <br /> ■ /_. FE(C-117 <br /> �; ��_` SAN JOAQUIN COUNTY <br /> R_ €�=_�Al�� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> JAN 2, 3 ZofFelephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.crg/ehd <br /> ENVIRONMENTAL HEALTH '" 'I. E C <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION 0 <br /> APPLICANT: RebeCCa Natal BUSINESS/AGENCY:AdVanCedCeOEnVICOnMental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton / CA/ 95215 <br /> PHONE (1): 209-467-1006 PHONE(2):209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 buslness days from date of application submittal-"Tanrarlva only-moat be conFlrmed) <br /> ❑CHECK BOX TO EXPEDITE REQ $12b FEE( CHC -REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City Unit 1 <br /> 1. <br /> 2 1950 Miner Av �����l � `� � lUnit2 <br /> 3 2150 East Fremont Street Stockton r&(-Nu ) <br /> a. 103 North E Street Stockton - u It3 <br /> 36 D Street Stockton I ? <br /> e 124 North E Street k� Stockton EI'Unit4 <br /> 7• 11 South A Street A(- Stockton <br /> 8. 1750 East Channel Street Stockton Lj Units <br /> Unit 6 <br /> Spectflc Data Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILI=S <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 0 SOLID WASTE FAciLiTYIVEHICLE <br /> RI OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑x WASTETIRE <br /> x❑UNDERGROUND TANK(NIONrrOMNWREMOVAI) []Doe KENNEL ❑x DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> x❑TIERED PERMITTED FACILITY ❑MOTEJHOTEL ❑PUMPFRTRUCK/YARDICHEMICALTOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISFA ED LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE S PELF`() <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW. MONDAY-FRIDAY 8:00 AM-6:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Soled the type(s)of files from the list above by checking the appropriate <br /> box(as). At least one file type MUST be selected. Fax to(209)4US138 or mall to the addross indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications recolved 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 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 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$125 deposit prior to review. <br /> "_r— ,i, 1 , F- <br /> li ilk /"�l//�"� ( ., Y•�:(i /... - A'�/-_'-�.' �/i V'`.%�/1.if Y� r�4'.i� V�i / \. � �1 �/�,i�"�.'l� ! I I� <br /> Ellb 46-00 811111 <br /> Received Time,Jan. 22. 2015 3: 59PM No. 7944 �? <br />