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8 ''' 4`"1 Advanced GeeEnvi ronmental 1u0 z J EHIJ (NUMBER <br /> .`_ D SAN JOAQUIN' COUNTY . <br /> EN'V-IRUN MENTAL HEALTH DEPARTIN.4 <br /> JUL 2 3'2008 600 Eat Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:vvWWA80 - /e <br /> SAN JOAOUiN COUNTY <br /> ENVIRONMENTAL PUBLIC RECORDS RELEASE APPLICATION' <br /> APPLIGANI-, ,Robert Marty BUSINESSIAGENCY: Advanced GeoEnvixonmental, Zn <br /> ADDRESS: 837 Shaw Road, Stockton, CA <br /> PHONE (1): <br /> 2D9-4b7-10x6 PHONE(2), 249-323-6499 FACSIMILE: 2119-467-x.118 <br /> TENTATIVE"APPOINTMENT DATE: Time: <br /> (Pteasa allow 10 business days from data of application submittal-"Tentative only-must be confirmed) <br /> ® CHECK BOX TO EXPEDITE RE ST- (CASH O K ONLY)-REQUEST PROCESSED IN 3 BUSINE DAYS <br /> SIGNATURE OF APPLICANTl �~ DATE x <br /> Electronic Infonnation: List❑ Map-Description: <br /> ON <br /> FILE ADDRESS - ONLl✓_ <br /> Street# Street Name - city ��� �°" sQ ❑ Unit 1 <br /> 1617 West Fremont Street Stockton <br /> 2 612 North Buena Vista Stockton — Q1j� ��ja� ) ❑ unit ,y <br /> 3. 1.414 West Fremont Street Stockton RI■) : / <br />` 4 541 'East Main Street' SCockt an. 3 7.' Unita <br /> llnit 4 <br /> 6. <br /> I 7 _ -- - ❑ Unit 5 <br /> 9. _. _ .. 0 Unit 6 <br /> Speelflc Date Range of Information Requested: From All to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES � '*' <br /> ® UNDERGROUND TANK(UST)CI EANUP SITE(LOP) ❑ HOUStNG ABATEMENT ❑ SOLID WASTE FACILn-Y/VEHICLE <br /> IM OTHER CLEANUP SITE(NON-LOP) <br /> ❑ FOOo FACILITY 171 WASTE TIRE <br />€ ® UNDERGROUND TANK(MONITORINGIREMOVAL) ❑ t70G KENNEL i7 DAIRY <br /> i ® HAZARDOUS WASTE GENERATOR (7 CHICKEN RANCH ❑WA8T!<WATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑ TATTOO/SooY PIERCING ❑POOLISPA ❑ LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:OOPm - EXCLUDING HOLIDAYS. <br /> 1. List up to tan addresses In the space above. Select the type('$)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 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 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.reorgianized,b EHD staff qx Lfze expense of the Ap rlt,.:. .,_.. .� <br /> - F`uteire frle revlews�iyhe same applicant may require a$98.00 deposit prior to review. <br /> EMD USE.ONLY <br /> i <br /> EHD 4848 W2B 8!8/2007 <br />