Laserfiche WebLink
0711212013 10:59 P.0011001 <br /> DA VQ C ti yi, _ END LOU NUMBER <br /> i,� °+ � _ SAN �JOAQUIN COUNTY <br /> f ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazalton Avenue, Stockton,JUL ZO232 <br /> Telephone. (209) 468-3420 Fax: (209) 464-0138 WebCwvdw.sjgoBorg/ehd <br /> FN�tiPt NMENT�LIIEALI'I <br /> pE;�•.�if rlvERtIfCFH <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Ally COlavlta BUSINESSIAGENCY: Advanced GeoEnvironmental <br /> ADDRESS: 837 Shaw Road CITYISTATE/ZIP: Stockton / CA / 95215 <br /> PHONE(1): 209-467-1006 PHONE(2): 209-483-3401 FACSIMILE: 209-467-1118 <br /> TENTATIVE'APPOINTMENT DATE: ASAP Time: <br /> (Please allow 10 buaineae days from date of application submittal-'Tenfadve only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST- 125 FEE(C 0 H K ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 7/12/13 <br /> Electronic Information: ❑ Ll*t❑ Map—Description; <br /> FILE ADDRESS END USE ONLY <br /> Street# Street Name city /Unit 1 <br /> 1• 120500 1 HOLLY DRIVE--Qs�. TRACY 3528 <br /> 2• 19409 1 WEST TRACY L u unitz <br /> 3. <br /> 4. El UnR3 <br /> }- <br /> 8. Unit <br /> 8. 0 Unit 6 <br /> 9. <br /> 10. p-1 nu a <br /> Specific Date Range of Informatlon Requested: From all to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑x UNDERGROUND TANK(UST)CLEANUPSITE(LOP) ❑HOUSING A13ATEMENT F1 80LID WASTE FACILITYIVEHICLE <br /> El OTHER CLEANUP SITE(NON-LOP) [I FOOD FACILITY ❑x WASTE TIRE <br /> I]UNDERGROUND TANK(MONITORING/REMOVAL) El Doe KENNEL DAIRY <br /> X❑HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH Q WASTEWATER TREATMENT PLANT <br /> QTIERED PERMITTED FACILITY ❑MoTELIHOTEL ❑PUMPERTRUCKIYARDICHEMICALTOILETS <br /> ❑TATTOoIBODY PIERCING ❑POOLISPA O LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY O COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:00PM(EXCLUDING HOLIDAYS) <br /> 1. Lint up to ten addreaaas in the apace above, Select the type(a) of file*from the list above by checking the appropriate <br /> box(os). At least one file type MUST be seleated. Fax to(2091464-0138 or mail to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with Nle 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 exlst. 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 busineaa days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that Is actively being worked an by END staff may not be Immediately available for review. A new application may be <br /> aubmltted when the file is available. <br /> 4, Any Nle not returned In the earn@ condition as released will be reorganized by EHD ataff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$128 deposit prior to review. <br /> EMD UEE ONLY <br /> Ree';'_'ed Time Jul, 12. 2013 10: 54AM No. 3577 <br />