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(tAA)<U7waf � <br /> t • 0312UIZU13 15:02 Advanced GeoEnviromental Inc. EHD LOG NUMBER <br /> r <br /> 1 cd lb SIC, � SAN JOAQUIN COUNTY i1 <br /> L. gl 1 y0� ENVIRONMENTAL HEALTH DEPARTMENT •/�i�l <br /> MAR 2 G 2013 1888 East Hazelton Avenue, Stockton, CA 95205-6232 1 w J <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.SJ90v.0r9lehd <br /> ENmpol\. N,= TALHe 4LRI <br /> PERMIT1 ERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESSIAGENCY: Advanced GeoEnvironmental <br /> CITY/STATE/ZIP: Stockton I CA 195215 <br /> ADDRESS: 837 Shaw Road <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 bualneea days from date of application submittal-`Tentative only-must be confirmed) <br /> ❑ CHECK BOX YO EXPEDITE E Y-5126 FE RC E NLY)-REQUEST PROCESSED IN 3 B SINES DAYS <br /> SIGNATURE OF APPLICANT 01 DATE - <br /> Electronic Information: ❑ List❑ Map—Des ipti n: <br /> FILE ADDRESS GHD USE ONLY <br /> Street K Street Name City .KUnit 1 <br /> 1. 21092 South Pillsbury Road Manteca <br /> 2. 3697 East Louise Avenue Manteca <br /> 3. 2901 East Louise Avenue Manteca Pil_aS q�cp <br /> 4- 2901 South Airport Way Manteca ;�-070635 <br /> 5. <br /> umu <br /> 7. 171 3 21 13 <br /> a. <br /> Unit 6 <br /> 9. <br /> 10. <br /> �Jnit 6 <br /> Speelflo Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP 317E(LOP) ❑HOUSING ABATEMENTx❑SOLID WASTE FACILITYNEHICLE <br /> x❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY Q WASTE TIRE <br /> x❑UNDERGROUND TANK(MONITORINOIREmovAL) ❑Doc KENNEL ❑x DAIRY <br /> x❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH <br /> Q TIERED PERMITTED FACILITY ❑WASTER TRUCKREATMEHEMICANT PLANT <br /> ❑MOTELIHDTEL ❑PUMPER TRUCK/YARO/CHEMICAL TOILETS <br /> ❑TA77OCIBODY PIERCING ❑POOLISPA Q 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-FRIDAY 8:00 AM-5'00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(ea). At least one file type MUST be selected. Fax to(2091464-0138 or mall to the address Indicated above Addresa <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 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 /> Future file reviews by the same applicant may require a $126 deposit prior to review. <br /> EHD USE ONLY <br /> END 49.09 <br /> 911n7 <br /> Received Time Mar. 20. 2013 2:58PM No. 2606 <br />