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�0 04110/2015 13:15 P.0011001 <br /> ■ <br /> i EHD LOG NUM R <br /> r E 0SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> APR 10 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd Oil <br /> ENVIRONMENTAL HEALTH <br /> PERMIT(SEFiVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: VV(Iliam Little BUSINESS/AGENCY: Advanced CBoFnVironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: StOCkton / CA / 96215 <br /> PHONE(1): 209467-1006 PHONE (2): 209- FACSIMILE: 209-467-1118 <br /> Spm TENTAT/VE'APPOINTMENT DATE: Time: <br /> / I (Please allow 10 busfnass days from data of application submittal-'rentadve only-must be conflnned) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$12 F E(CASH OR ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Vll eta a I DATE <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY / <br /> Street 9 Street Name cityUnit 1 <br /> Ll Ut 11 <br /> East Louise Ave Lath r <br /> Unit 2 <br /> 400 D'Arcy Parkway Lathmp <br /> Unit 3 <br /> 6, Unit 4 <br /> 7. <br /> 8. / /1N:Unit 6 <br /> 17 V4- <br /> 0. `� �I i5Uj/p, <br /> lunit <br /> Specific Date Ranee of information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING AEATEMENT Q SOLID WASTE FACILITY(VEHICLE <br /> x❑OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑x DAIRY <br /> Q HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> Q TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKNARDICHEMICALTOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOL/SPA 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-6:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the apace above. Select the type(s)of flies from the list above by Checking the appropriate <br /> box(ea). At least one file type MUST be selected. Fax to(205)454-0138 or mall to tho address Indicated above._ Address <br /> ranges will not be accepted-for additional aasiatance 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 flies 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$125 deposit prior to review, <br /> EHO USE ONLY <br /> P-mn ARM <br /> Received Time Apr. 10, 2015 1 : 12PM No. 8510 <br />