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o- U/1211ZU14 1/:ZZ (FAX) P.0011001 <br /> 13 <br /> T� <br /> M��&V E D EHD LOG NUMBER <br /> 013 0 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT �! <br /> JUL 2 2 2014 -� <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 , ` <br /> ENVIRONMENTAL HEX&p hone: (209)468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Rebecca Natal BUSINESS/AGENcY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITY/STATEIZIP: Stockton /CA 195215 <br /> PHONE (1): 209-467-1006 PHONE(2): 209-623-7200 FACSIMILE: 209-467-11-18 <br /> TENTATIVE'APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal-•Tantadva only-must be co rmed) <br /> CHECK BOX TO EXPEDITE rIUEST-$125 FEE(CA R CHECK LY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> 11 <br /> SIG'NA`TURE OF APPLICANT DATE <br /> Electronic Information: []Llst❑ Map–description: <br /> FILE ADDRESS EHD USE ONLY <br /> street 0 Street Nan* city Untt 1 <br /> 1. 2360-KEast treetlq'3r-'%Ie. 1,' Trac t L-� <br /> 2• 301 East Grant Line Road^ l' " CI�a. UnIt2 SI <br /> 3. 275Entt Grant Line R 'Jt'(a�3� eTracy <br /> 6. ja!fJnIt 4 <br /> TrarV <br /> 8 Unit 5 <br /> r <br /> 0AAft 6 <br /> Specific Date Range of Information Requested: From all to <br /> S ENVIRONMENTAL HEALTH DEPARTMENT-F1LF_S <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENTSOLID WASTE FACIUTYNEHICLEvt <br /> OTHER CLEANUPSIiE(NON-LOP) [�FOODFACILITY QWASTETIREUNDERGROUND TANK(MONrrokINGIREWVAL) ❑OOG KENNEL -)Q DAIRY * Dew t <br /> ' °y�❑HAZARDOUS WASTE GENERATOR 4 (>`u) 0"� ❑CHICKEN RANCH ©WASTEWATER TREATMENT PLANT <br /> x TIERED PERMITTED FACILITY k onl I ❑MOTWHOTEL ❑PUmPER TRUCK/YARDICHEMICALTOurs <br /> ❑TATTOOIBODY PIERCING ❑POOIJSPA 4Z LAND USE APPLICATION SITES t t>nly V I <br /> ❑ MEDICAL WASTE FACILITY 4❑COMPLAINT R ECORDS R Only At( ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW. MONDAY-FRIDAY 8:00 AW5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up 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)464-0138 or mall 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 flies 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 filo Is available. <br /> 4. Any file not retumsd 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$125 deposit prior to review. <br /> 7 ✓; d ;' –� , -_ 2 <br /> EHD 4" ars i <br /> Received Time Jul. 21, 2014 5: 10PM No- 6658 <br />