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0411812012 09:32 Advanced Fnviromental Inc. AX)209 4611118 P.0011001 <br />DATE RECEIVED SAN JOAQUIN COUNTY EHD LOO NUMBER <br />ENVIRONMENTAL HEALTH DEPARTMENT 6si <br />Lj 600 E=ast Main St. Stockton, CA 95202-3028 <br />(1 V <br />�nf\ 2Q)? Tele hone�j: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />� D �'�-'- �1'�,~✓I�] o ;c ,��,J Il-�et''-�' �-'� �t'-� .(_ejL)n�� ova N/1 <br />f <br />:''� IPERMIT/SERVICES <br />PUBLIC RECORDS RELEASE APPLICATION <br />I'ERM1T/SERViCFS <br />APPLICANT: Ally Colavita BUSINESS/AGENCY: Advanced GeoEnvlronmental <br />ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton 1 CA 195215 <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 date of application aubml I -'Tentative only • must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUEST- 1 6 E (C OR CH NLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT I DATE 44/19/12 <br />Electronic Information: ❑ List ❑ Map — Description: <br />FILE ADDRF-88 <br />EHD USE ONLY <br />Unit 1 <br />Street 0 <br />Street Name city <br />1. <br />681 <br />CARNEGIE STREET MANTECA /V� <br /><C7 unit 2 <br />2. <br />688 <br />CARNE©IE STREET MANTECA <br />C2c1 mc���tt�r�Q2 <br />Un1t 3 <br />4' <br />8. <br />nit 4 <br />8'j <br />f , J, <br />7. <br />1 5 <br />_ d Unit 6 <br />v �t��j\% <br />�.. �Y Unites <br />6' <br />9. <br />% Ic <br />10. <br />Specific Date Range of information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />® UNDERGROUND TANK (U8T) CLEANUP SITE (LOP) HOUSING ABATEMENT Z SOLID WASTE FACILITYNEHICLE <br />® OTHER CLEANUP SITE (NON -LOP) FOOD FACILITY ® WASTE TIRE <br />❑ UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br />® HAZARDOUSWASTE GENERATOR ❑ CHICKEN RANCH ® WASTEWATER TREATMENT PLANT <br />® TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEMICAL TOILETS <br />❑ TATTOO/BODY PIERCING ❑ POOLISPA ® LAND USE APPLICATION SITES <br />® MEDICAL WASTE FACILITY ® COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) <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 addressee 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 type MUST be selected, Fax to (2081464-0138 or mail to the address Indicated above. Address <br />ranges will not be accepted - for additional aeolstance 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 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 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 />p„+..re file reviews by the same applicant may require a $126 deposit prior to review. <br />oC SE Y <br />EHA $ 4 <br />.�a 4 <br />