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F0 08/15/2014 16:50 (FAX) P.0011001 <br /> 01 <br /> ❑ <br /> l ❑ DATE RECEIVED EHD LOG NUMBER <br /> Io 3� _ ^,(-%.__� �_, SAN .10AQUIN COUNTY <br /> ,3�e— ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-62329 <br /> AUGG 15 2014 Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd � <br /> `NViRON AENTA,L JJF��.l_i"I-I <br /> _, <br /> REIRMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> J <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton /CA/95215 <br /> PHONE(1): 209-467-1006 PHONE(2): - FACSIMILE: 20,9467-111$ <br /> TENTATIVE'APPOINTMENT DATE: ASAP Time: <br /> (Pioaao allow 10 business days from date of application submittal-•Tantat/vo on y--must be Confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$125 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# -;reef Name City Unh 1 <br /> 1• 8010 Street -'�301"I, 4'7yc Trac <br /> 2. 8111 11th Street r` `' ��`�`'Z3 1 E�'�`Trac <br /> Unh 2 <br /> 3. 8181 11 th Street I``Wit, - � 23s6 Trac <br /> 4• 1000 11 th Street 10,2 T, `� 62 Trac 'Unit 3 <br /> 5. <br /> 6. Unit4 <br /> 7. <br /> 8. Unit 6 <br /> 9. <br /> 10. ,21Unit 6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONME=NTAL HEALTH DEPARTMENT FILES <br /> 0 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT Q SOLD WASTE FACILITYNEHICLE <br /> x❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑Q WASTE TIRE <br /> [g]UNDERGROUND TANK(MONrrOR►NGIREMaVAL) ❑DOG KENNEL. = Q DAIRY <br /> x❑HAZARDOUS WASTE GENERATOR ❑CKCKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPERTRUCK/YARDICHEMICALTOILETS <br /> ❑TATTOOIDODY PIERCING ❑POOUSPA ❑Q 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:OD AM-S:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addrejigas 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(2091464-013B or mall 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 ten(1D) <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 concildon 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$125 deposit prior to review. <br /> EHD USF UNI. <br /> CHS 48-06 9HI71 <br /> Received Time Aug, 15, 2014;,-4:39PM No. 6845 <br />