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04/22/2014 09:55 (PAID P.0011001 <br /> EHD LOG NUMBER <br /> ■DATE RECEIVED p SAN .JOAQUIN COUNTY <br /> % RECEIVE® ENVIRONMENTAL HEALTH DEPARTMENT q17A93 <br /> ■ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> APR 2 2 201 clephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH - <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION ' S <br /> APPLICANT: Ally COlayit8 BUSINESS/AGENCY; Advanced GeOEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATEIZ(P: Stockton / CA/95215 <br /> PHONE (1): 209-467-1006 PHONE (2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE*APPOINTMENT DATE: ASAp Time: <br /> (Planes allow-10 business days from date of application submittal-'Tentattve only-must be confirmed) <br /> ❑X CHECK BOX TO EXPEDITE REQUEST-$12$FEE CASH OR ECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE *1-1,2 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name city i Unit 1 <br /> i <br /> 1• 341 E. Hardinig Way Stockton �( <br /> 2• 551 L. Harding Way Stockton Unit 2 / <br /> 3. 561 E. Hardins Wo3f Stockton o <br /> 4• 563 E. Harding Way Stockton Unita <br /> 5. 568 C. Harding Way Stockton <br /> e• 1508 Cemetery Lana Stockton p uNt4 <br /> 7• 1800 N. California Street " 3s;.o7", Stockton <br /> 8- 521 . N. Wilson Way Stockton Unite <br /> 9. S01 N. Wilson Way Stockton <br /> 10. 527 N. Wilson Way I Stockton , Untie <br /> specific Date Range of Information Requosted: From all to <br /> 4 L-N.CT- I%Itr a^�^( 44 _�- ENVIRONMENTAL HEALTH DEPARTMENT FILES . <br /> ©UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ElHOUSMe ABATEMENT O SOLID WASTE FACILITYIVEHICLE <br /> ❑x OTHER CLEANUP SITE(NON-LOP) -" ❑FOOD FACILITY E WASTE TIRE <br /> x❑UNDERGROUND TANK(MONITORINGIREMOVAL).. ❑DOG KENNEL Q DAIRY <br /> Q HAZARDOUS WASTE GENERATOR - ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Q TIERED PERmrnED FACILITY ❑MOTELMOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATro01BODY PIERCING . ❑POOIJSPA X❑LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q COMPLAINT RECORDS - .❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-F RI DAY 8:00 AM-6:0OPM(EXCLUDING HOLIDAYS) <br /> 1, List uo to ten addresses in the space 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 selected. Fax to(209)464-0138 or mail to the addrese 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 racelpl of appllcatlon. The files will be held for a maximum of Nve 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 immediatefy avelleble 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 $126 deposit prior to review. <br /> CHO USE ONLY <br /> Received Time—Apr. 22. -2014— 9:45A NIIo. 5852 <br /> .„e.Uwv <br />