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1111312012 09:20 Advanced GeOEr.-"Omental Inc. <br /> Ic V)209 4671118 P.001 1001 <br /> Nwo <br /> EIiD LOG NUMBER <br /> D CENED SAN JOAQUIN COUNTY <br /> 'H ELEIVED ENVIRONMENTAL HEALTH DEPARTMENT " 4 <br /> CA 95205-6232 <br /> 1888 East Hazelton Avenin, Stockton, •� V*r <br /> IHV 13 20%lephone: (209) 468-3420 Pax: (209) 464-0138 Web:www.sjgov.orgfchd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally Colavita BUSINESSIAGENCY: Advanced CeoCnvironmental <br /> ADDRESS: 637 Shaw Road CITYISTATFJZIP: Stockton !CA 195215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209-483-3401 FACSIMILE: 209-467-111 <br /> TENTATIVE"APPOINTMENT DATE: PTime: <br /> (Pleaso allow 10 business day$from date of application submittal•'Tentative Only-muot be eonFrmed) <br /> ❑CHECK SOX TO EXPEDETr-REQUEST 1 5 E(CA R CH Q -REQUEST ppor :SEED[N 3 11/13/128 DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic intormatlon: ❑List❑Map—Description: <br /> FILE ADDRESS I:tiu Uel:ONLY <br /> Street Stmt Name Clf]I ,i]Unit 7 <br /> f2. <br /> 9100 South Main Street Manteca1103 South Main StreetciMantecaUnu2555 Industrial Park Drive Manteca. 544 Industrial Park Drive Manteca units <br /> ]nit <br /> T. <br /> 8. <br /> Specific Date Range of information Requested: From all to / <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑x UNDeMROUND TANK(1ST)CLEANUP SITE(LAP) ❑Flom*ABATE EENT El SOLID WASTE FACILiTYNEHICLE <br /> 0 OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY M WASTE TIRE <br /> UNDERGROUND TANK(MONITORING1REMOVAL) ❑DOG KENNEL [91 DAIRY <br /> x❑1147Amous WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYMVCHEMICALTOILETS <br /> ❑TATTOCIBODY PIERCING ❑PDOLISPA 0 LAND USE APPLICATION SITES <br /> L] MWICAL WASTE FACILITY Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MQNDAY-FRIDAY S:OO AM-R:ODPM(EXCLuDIHo HOL(DAYS) <br /> i. List ug to ton addrQssRA In the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file typo MUST be selected. Fax`"(Z081 Aaesa 3n nr.Hall to the Addreas Indicated above, Address <br /> ranges will not be accepted-for additional aselatance with file addreaees,contact the EHD. Applicatl one recalved after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notlfy the applicant if any EHD flies exlat. An appointment for review will be confirmed approximately ton(10) <br /> days after recelpt of appllcatlom The files will be held for a maximum of five business days for ravlow. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that le actively being worked an by EHD staff may not be Immediately available for review. A new nppilcation may be <br /> submitted when the fiie In avallable. <br /> 4. Any fila not returned In the Game condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Futuro ilia reviews by the gams applicant may require a$126 deposit prior to rsvlaw. <br /> MiD USE ONLY <br /> E u1 - <br /> Received Tine Hoer, 13, 2012 9: 1641 Plc. 1610 <br />