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0 o U//11/LU14 1/:L1 (FAX) P.0011001 <br /> rlbrl <br /> °�° REG&VED <br /> EHD LOG NUMBER � <br /> °0 SAN .JOAQUIN COUNTY <br /> JUL 2 2 2014 ENVIRONMENTAL HEALTH DEPARTMENT J <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTALHjLgnphone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> PERMIT/SERVICES <br /> 17 �_r7 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT..—Rebecca Natal 13USINESS/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: 209-467-11.18 <br /> TENTATIVE*APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 business days from date of application submittal-•Tanfeftva only.must be co rmed) <br /> CHECK BOX TO EXPEDITE f� 1UEST-$125 FEE(CA R 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 tl Street Name City Unft 1 <br /> 12. <br /> 2360k Trac 3 1 East Grant Line Road �' unft2 �9� <br /> 3. 275 i �3bij�3 �2� Traloy <br /> 4 <br /> 4. 1502 f, �; <br /> t Tracy AL UnIt 3 <br /> 6. 2421 Holly Drive 1j , a nit4 <br /> 8• El Unit 5 <br /> 1. <br /> ul <br /> J, <br /> 10. ` f �L,) ? i' 1 ��:� L`�'J� u W"H �� -tC 1�, nit6 <br /> Specific Date Range of Information Requested: From all to <br /> LS S ENVIRONMENTAL HEALTH DEPARTMENT-FILES fly <br /> "❑X UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING A13ATEMEM ❑SOLID WASTE FACILrTYNEHICLE <br /> �X OTHER CLEANUP SITE(NON-LOP) El FOOD FAGL(TY 1WASTE TIRE <br /> IX UNDERGROUND TANK(MONITORINGIRDAOVAL) ❑DOG KENNEL -)k❑DAIRY tk�W i <br /> ' :)(❑HAZARDOUS WASTE GENERATOR 4 Ch-LI) '� � ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> x TIERED PERMITTED FACILITY k cr%LTtl I ❑MOYELIHOTEL ❑PLWERTRUCK(YARDICHENACALTOILLTS <br /> TATTODIBODY PIERCING ❑POOL/SPA ❑X LAND USE APPLICATION SITES 1G�lL� A <br /> ❑ MEDICAL WASTE FACILITY -`E]COMPLAINT RECORDS A On\y 011 ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW. MONDAY-FRIDAY 8:00 AWS'l PM(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 bo(2091464-0136 or mall to thea 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 approxlmately ten(10) <br /> days after receipt of appiIcat!on. 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 avallable 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 file reviews by the same applicant may require a$125 deposit prior to review. , <br /> 7/:)1 h 14- -ALF- -� ,i � . _ o - <br /> EHD 18-00 91711 <br /> Received Time Ju1. 21, 2014 5: 10PM No. 6658 <br />