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o❑ 01/20/2015 11:03 (FAX) P.0011001 <br /> 1,,13i❑ O <br /> I r3 DATE RECE � EHO LOG NUMBER <br /> o SAN JOAQUIN COUNTY <br /> %\ ENVIRONMENTAL ONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> p� <br /> �AMOO <br /> one: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: Stockton/CA/95215 <br /> PHONE(1): 209-467-1006 PHONE(2):209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from data of application submittal-•TenteHvo only-must bo confirmed) <br /> ❑CHECK BOX TO EXPEDITE RM T-$125 FEE;(or C CK LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1/20/2015 <br /> Electronic Information: El List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street a Street Name City Unit 1 <br /> 1 3808 West Lane Stockton <br /> 2. 4040 West Lane Stockton iffUnite <br /> 3• 1146 Enterprise Street Stockton <br /> 4. Z]Unit 3 <br /> 5. <br /> 6. 2 Unit 4 <br /> 7. <br /> e- Unit 5 <br /> 9. <br /> 10. nit 6 <br /> Specific Date Range of Information Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> x❑ <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) HOUSING ABATEMENT ❑x SOUDWASTE FACILITYIVEHICLF <br /> Q'OTHERCLEANUPSIrE(NO*LOP) ❑FOOD FACILITY ❑x WASTE TIRE <br /> X❑UNDERGROUND TANK(MONRORINGIREMOVAL) ❑DOG KENNEL D DAIRY <br /> D HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMRTED FACILITY ❑MOTEYHOTEL ❑PUMPER TRUCKIYARDICHERCCAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA - LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY D COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:DOPM(EXCLUDING HOLIDAYS) <br /> 1. list uri to ten addressee in the space above. Select the typs(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0138 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 /> 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 behold for a maximum of five business days for ravlew. 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 raqulre a$125 deposlt prior to review. <br /> EHO LISE ONLY <br /> ENO 49-06 <br /> Received Time Jan. 20, 2015 10:54AM No. 7929 <br />