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12/2112012 16:12 Advanced GeoEnviromental Inc. O:AX)209 4671118 P.0011001 <br /> r ATE RECEIVED EHD LOO NUMBER <br /> PSAN JOAQUIN COUNTY <br /> . <br /> RECEIVEDENVIRONMENTAL HEALTH DEPARTMENT <br /> • DEL 21 201 1868 East Hazelton Avenue, Stockton, CA 95205-6232 /)/ <br /> Alephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd / <br /> 73 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT'SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally Colavita BUSINESS/AGENCY: Advanced GeDEnVironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton / CA/ 95215 <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 dale of application submittal-•Tentsove only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQU T- 125 FE CAS R HECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE I ZL2 r /r 7— <br /> Electronic Information: ❑ List❑ Map—Description: 71 <br /> FILE ADDRESS EHD USE ONLY <br /> Strom a Street Nam@ city w4unit, j l <br /> 1. 18754 East State Route 26 Linden <br /> 2. Unit 2 <br /> 3. <br /> 4, unit 3 <br /> S. <br /> 6. Unit 4 <br /> r. <br /> 8. LJ Unit 6 <br /> 9. <br /> 70. nit e <br /> Spoelfic Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Z UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT Q SOLID WASTE FACILITY/VEHICLE <br /> E❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY Q WASTE TIRE <br /> E❑UNDERGROUND TANK(MONrrORTNOIREMOVAL) ❑DOG KENNEL O DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> (]TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA Q LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY E❑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 apace 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 (209)464.0138 or mall to the address In0lcat2 Lgkova. 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 notary the applicant If any EHD files exist. An appointment for review will be confirmed approximately tan(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 /> Futuro file reviews by the same applicant may require a$126 deposit prior to review. <br /> LbID USE,ONLY <br /> I F- <br /> `Received Time Dec. 21. 2012 4: 09PM No. 1952 ewlf <br />