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DATE.o Y'� h�., 2001 3:43 PM AdviLceo G e o E n v l r O n lr e n t a l N o. 022'HDLP'_ .,JMBER <br /> ...i SAN JOAQUIN COUNTY � <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MOVED <br /> 600 East Main Street, Stockton, CA 95202 <br /> Telephone: (209)4.68-3420 Fax: (209)464-0138 Web: www.sj3ovoej�IJ'J 0 5 2007Qt,l 4 3 <br /> EHYiP41S�cFcNT,�IH�EEGALTH PUBLIC RECORDS RELEASE APPLICATION <br /> ! j♦-�tc�uara.E---� IMA�'?i'a Carranaa BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Rd., Stockton, CA <br /> PHONE(1)7 209-467-1OD6 PHONE(2): 209-609-4067 FACSIMILE: 209-467-1118 <br /> TENTATIVE`APPOINTMENT DATE: ASAP Time: anytime _ <br /> (Plea"allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ,.CHECK BOX TO EXPEDITE REQUEST-585.00 FEE(CASH OR CHECK ONLY)-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 N Street Name _ Clty ❑ Unft 1 <br /> 1. 799 02 South Aurora street Stockton AI Jp�F <br /> 2, 510 East Magnolia Street Stocktea 35 a O- ❑ Unit2 <br /> 3. 1252 North Stanialauo Street Stockton <br /> 4. 1212 North California Street Stockton <br /> 5, 1800 Califonia Street Stockton <br /> 7 9 -- -3 `Y" Unif4 � <br /> g, / Ni w�- Stockton <br /> Z <br /> _..... __ ❑ Unh 5 <br /> 8. <br /> 9. <br /> �Unit6 <br /> AIM <br /> Specific Date Range of Information Requested:From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> �UNDERGROUND TANK(UST)CLEANUP Stir(LOP) 0 HOUSING ABATEMENT fl SOLID WASTE FALL <br /> THER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY 0 WASTE TIREZru ��� <br /> DERGROUND TANK(MONITORING/REMOvAL) 0 Doo KENNEL 0 DAIRY <br /> AXARDOIIS WASTE GENERATOR 0CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> C3 TIERED PERMITTED FACILITY 0 MOTELIHOTEL In PUMPER TRUCK/YARDICHeM TOILETS <br /> 13 TATTOO/BODY PIERCING 17 POOLISPA ❑LAND USE APPLICATION SITES <br /> O MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in the space above. Select the type(s)of riles from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to 1209)464-0138 or mail 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 tan(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 now 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$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 46.06 S/1S20D7 <br />