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0312012015 15:54 X) P.0011001 <br /> i <br /> EWED <br /> E�p� SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> �� {( <br /> MAR 2 3 2Q1j ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone; (209)468-3420 Fax: (208) 464-0138 Web: ww.sjgov.org/ehd <br /> w <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATEIZIP: Stockton / CA /95215 <br /> PHONE (1): 209-467-1006 PHONE (2): 209-623-7200 FACSIMILE:-209-467-1 I 18 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE R ST 0125 FEE(cAB UEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE; OF APPLICANT DATE r w1-5— <br /> Electronic Information: ❑ List❑ Map—Doacription; <br /> FILE ADDRESS EHD USE ONLY <br /> Street It Street Name city C3 Unit 1 <br /> 1. 2339 Hammer Lane Suite F Stockton q1-- <br /> 2. ' Ilty—S . unit2 -3' <br /> 3. 344-I5 <br /> 4• Unit 3 <br /> 5. (� <br /> 6. 3( <br /> 171,41n-11 <br /> 7. <br /> 8. <br /> Unit 6 <br /> 9. <br /> 10, El <br /> Unit 8 <br /> Speclfic Data Range of Information Requeatad: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑x UNDERGROUNDTANK(UST)CLEANUP SIrE(LOP) ❑HOUSING ABATEMENT ❑SOUDWASTE FACIUTYNEHICLE <br /> ❑x OTHER CLEANUP SITE(NON•LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> E HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMEIIT PLANT <br /> ❑x TIERED PERumizo FACILITY ❑MOTEUHOTEL ❑PUhiPERTRUCK/YARD'CHENLCALTOILETS <br /> ❑TATTOO18ODY PIERCING ❑POWSPA ❑x LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY M COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8;00 AM-5:0OPM(EXCLUDING HOLIDAYS) <br /> 1. List un to ten addresses In the space above. Select the ty ae(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)454-0138 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 /> 100 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 buslness 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 la available. <br /> 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the expense of the appllcant. <br /> Future file reviews by the same applicant may require a$125 deposlt prior to review, <br /> HHD LISP.ONLY <br /> MD 4"S <br /> eeived Ti( Mar. 20. 2015 3:S1PM No. an <br /> Rec <br />