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06/20/2012 13:16 Advanced GeoEn�W;mental Inc. TAM4671118 P.0011001 <br /> v <br /> DATRi '��� SAN.JOAQUIN COUNTY EHD LOG NUMB <br /> EG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazefton Avenue, Stookton, CA 95205-6232 <br /> "Tfilephone: (209) ax: Web:www.s1gov.o e <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: A.Luis Gerdes BUSINESSIAGENCY: Advanced GeoEnvironmentai,Ino. <br /> ADDRESS: 837 Shaw Road CITY/STATE/ZIP: .Ca,85215 <br /> PHONE(1): ( )361-6298 PHONE(2): (209)323-8601 FACSIMILE: (200)4,B7-1118 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 busInsss days from data o app laadon subm I- TTenisam only-must be contlnnod) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 6120/12 <br /> Siectrowe Infortnation: ❑List❑Map—Description:, <br /> FILE ADDRESS EHD USE ONLY <br /> Street Street Name city nit 1 <br /> 1. 2829 VVIndflo%or Lane,Stockton,CA 95212(Cesar Cha High School)- <br /> 2. 1426 S.Conte •Stockton,CA 96206(Edison Senior High chool)ice-Ste' Unit2 <br /> S. 300 North Ge de,Stockton,CA 95215(Franklin Sigh S ooi) .� <br /> [7. <br /> 1821 Brookeld Road,Stockton,CA 95207(AA.Stagg H h School) �-g, ; <br /> . eP. I r. gi— �. r� ors-'v nit4 <br /> u !te <br /> 9-ft- <br /> 10. Unks <br /> 8pecille Date Range of IMDrmadon Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ROUiJo NUP Stili(LOP) ❑HOU81fIG AOATENIBNT [I SOLID WASTE FACILrrYNEHICLE <br /> lit C A (NON-1.0 ❑FOOD FALL" ❑WASTE TIRE <br /> RINOIlZEMOVAL) [j DOG KENNEL 0 DAIRY <br /> ❑EIA2ARDOUB WASTE GENERATOR CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑T�Pate TTED FACILITY OTEML ❑PUMPER TRUCKIYARDICHEMIGU.TOILETS <br /> OIBODY <br /> ❑TATTQPIERCING LISPA ARRLwATtF7rP61 <br /> ❑ IIMEDIOAL WASTE FACLIIY _ ORDS ( OTHHt(PLEASE SPECIFY) CUPA <br /> Wall.AND SEPTIC PCRMTT RECORDS ARE AVAI LE POR REVIEW: NDAY-FRIDAY S:OIM-a-�:�PIA ICL 'DING HOLIDAYS) <br /> 1. List up to ton addresses In the space above. Select the typo(s)of Hiss from the list above by ahooking the appropriate <br /> box(es). At least one file type MUST be selected. Eaxle(2081484-0138 or mall to the address IndIRWd 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 notly the applicant If any EHD files exist. An appointment for review will be Confirmed approximately tan(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 Me 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$126 deposit prior to review. <br /> aHD U9E ONLY <br /> EHD 4"1 RRM1 <br /> Received Time Jun. 20, 2012 1 : 14PM No. 0314 <br />