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'r U/121IZU14 1/:CL • •(FAX) P.0011001 <br /> Ili <br /> Y REVVED EHD LOG NUMBER <br /> a� SAN JOAQUIN COUNTY <br /> ■ JUL 2 2 20111 ENVIRONMENTAL HEALTH DEPARTMENT y <br /> 7L"phone1868 East Hazelton Avenue, Stockton, CA 95206-6232 lVk <br /> ENVIRONMENTALHEA : (209)468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> PERMITISERVICES ` <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATEIZIP: Stockton /CA/95215 . <br /> PHONE (1): 209-467-1006 PHONE(2):209-623-7200 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from data of application submittal-`rwtethre only-must be confirmed) <br /> CHECK BOX TO EXPEDITE nlUEST-$125 FEE(CA CHECK LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Sheet Name City Unit1 <br /> i. 2360 =I•�c': ?a i Tracy tLV <br /> 2 �qJ • C1tQ Unit2 S� <br /> Sol East Grant Line Road^7;3 ; $• <br /> 3. 275 .3-5)t; <br /> 4. 609 14 ,=2s�Lo aa• v, as4 :ii . ' unit3 <br /> 6. 1-416(1- as Grant Linm Rna a41 j 1+3.5T racy <br /> 6, 2421 Holly Ddve Q255;I 9-; g Tracy &Unft4 <br /> 6• / Unit5 <br /> 10. <br /> Specific Date Range of Information Requested: From allto <br /> L7S• ENVIRONMENTAL HEALTH DEPARTMENT'FiLE:B <br /> 4�I f, 'x UNDERGROUND TANK(UST)CLEANUP SrTE(LOP) ❑HOUSINGABATEMLNT '❑x SOLID WASTE FACILIIYNEHiCIJ_ <br /> 1 X OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑X WASTETIRE <br /> Bly[ ,.�UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOGKENNELDAIRYk- 0�W �t <br /> �4QHAZARDOUS WASTE GENERATOR 4a'`Ll) 'A" ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> x TIERED PERMHTED FACILITY k onU�21 I ❑MOTELIHOTEL ❑PUtdPERTRUCKIYARDICHEIACALTOILLTS <br /> TATTOOIBODY PIERCING ❑POOLISPA )•❑x LAND USE APPUCATION SITES'k t)Al V1 <br /> ❑ MEDICAL WASTE FACILITY COMPLAINT RECORDS*Cn1y API ❑OTHER(PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY8:00 AM-6:OOPM(EXCLUDIN(B HOLIDAYS) <br /> 1. List yo to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0136 or mall to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END. 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. Anew application may be <br /> submitted when the file Is available. <br /> 4. Any file not rstumsd In the some condition es 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 /> r� 11! <br /> EHD 18-06 9H 1 <br /> Received Time MAI, 2014 5; 10PM No. 6658 <br />