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■� 01/20/2015 11:03 O:AX) P.0011001 <br /> ■ <br /> i DATE RECE 1 j EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT 1868 East Hazelton Avenue, Stockton, CA 95205-6232 t616� <br /> p one: (209)468-3420 Fax: (209) 464-6138 Web:www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESSIAGENCY: Advanced GeoEnyironmental <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 /> (Plan alloy10 business days from date of application submittal--Tentarl"only-must W confirmed) <br /> ❑ CHECK BOX TO EXPEDITE R E T-$125 FEE( C CK LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1/20/2015 <br /> Electronic Information: ❑List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> 1Street Street Name city Unit <br /> t 3808 West Lane Stockton IU - <br /> 2. <br /> ° -2. 4040 West Lane Stockton t2 <br /> / 3. 40, Enterprise Street Stockton qYt t•h5 vw GIS P �` <br /> 4, M (Rt co <br /> S. Unit <br /> 5. <br /> 6. 17'cdte ©Unit4 <br /> 7. fbv- 1—VA-15 <br /> 8. <br /> Unit <br /> 9. <br /> 10. <br /> �Jnll e <br /> Specific Date Range of Information Requested: From all _ to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> DUNDERGROUND TANK(UST)CLEANUP SITE(LO P) ❑HOUSING ABATEMENT x❑SOLID WASTE FACIUTYIVEHICLE <br /> 0 OTHER CLEANUP 8 FIE(NOt4LOP) E3 FOOD FACILfrY ❑X WASTE TIRE <br /> %❑UNDERGROUND TANK(MONITORINGIREMOVAL) El DOG KENNEL ❑X DAIRY <br /> x❑HAZARDOUSWASTEGENERATOR El CHICKEN RANCH ❑WASTEWATERTREATMFMPLANT <br /> x❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEM ICALTOILETS <br /> ❑TATTOOIBODY PIERCING ❑PDOUSPA El LAND U GE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITYx❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW: MONDAY-FRIDAY 8:00 AM-5:DOPM(EXCLUDING HOLIDAYS) <br /> 1. List un to ten addresses in the apace 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(209)464-0138 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 wllI notify the eppl(cant N any EHD Nes exlst 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 buainess 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 Ne reviewa by the same applicant may require a$125 deposit prior to review. <br /> EHb L19E ONLY <br /> I rUvit & LO vAA,, N° Tilt Los B1NG En A%e r/,J, lkLA + A dq der LtOL O <br /> I-kL,rf C (err L(d "I Lcwe <br /> 'A �ktj f"ke V 2 fsT c{.11AJ LvCt-t. LLAB. <br /> Eaoa .oe 911111 <br /> Received Time Jan. 20, 2015 10: 54AM No. 1929 <br />