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feb IU 1010 10: 14AM Ad van GeoEnvironinertaI <br /> DATLKLuLIVLLi *ZNo. 6397 , P 1 <br /> SAN J4AQUIN COUNTY f EHC,Lv%,NUMBER <br /> �E C Eu _>;: © EV Rp <br /> ENTAL HEALTH DEPARTMENT <br /> (300.East Main St. Stockton CA 95202-3029 <br /> elap#�io 509) 468-3421.0 Fax: (209) 464-0138 Web WWW-s ov.nr lehd <br /> f�VI t N` i11T HEALTH' P0,01' 'I R CORDS RELEASE APPLICATION <br /> APPLICANT: .ALLY COLAVYTZ, �# ,, <br /> �.. ,f7 ft„DUSINESSIAGENCY: ADVANc1 D GEOENVIRONMENTAL, INC <br /> ADDRESS: 837 SHAW ROAD CITYISTATE1ZiP: s7aCxroN <br /> PHONE(1): 209-467-1006 PHONE(2): 209-483-34QI., FACSIMILE:209-467-1118 <br /> TENrArIVE"APPOINTMENT.DATE: �sAP Timet <br /> (Please allow 10 business days from date of application submittal-"Tsntadve only-must be confirmed)' <br /> CHECK BOX To EXPEDITE REQUEST-�$115F�EE_( S t}R CHECK ONLY) REQUEST PROCE35E€3 IN 3 BUSINESS DAYS. <br /> SIGNATURE OF APPLICANT DATE 02 <br /> Electronic Infor'Mation: ❑List❑ Map-Descrlptlon: <br /> 1 <br /> FILE ADDRESS E,HD USE ONL;Y.' } <br /> Street# Street Name City <br /> 1.45 NORTH F STREET i STOCKTON <br /> 1, ' <br /> F2• 145 NORTH F STREET STOCKTON.. -- ❑unit <br /> 3- 24352A8T WEBER AVENUE STOCKTON <br /> 4, 3-24 W NORTH E STREET STOC.XTON ZU-If 3 <br /> ' 4171 INDUSTRIAL WAY TRACY _ <br /> 5' 4131 INDUSTRIAL WAX �?.�f.5.{�r TRACY _ Uhit4 <br /> 7' 4110 INDUSTRIAL WAY r TRACY <br /> ®Unit 9 <br /> :xFRp <br /> t Unit <br /> ySpecific Date Range of information Requested: From `.I ,, to <br /> �- <br /> ENVIRONMENTAL HE LT.J1 0_�SOARTMENT FILIES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOU0G ABATE NT ®SOLID WASTE FACILITYIVEIIICLE <br /> IM OTHER CLEANUP SITE(Nowt-OP) El FOOD FACILITY ❑WASTE TRE <br /> UNDERGROUND TANK(MON[TORINGIREMOVAL) Q DOG KENNE€, ❑DAIRY <br /> HAZAko its WASTE GENERATOR Q CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT II <br /> TIERED PERMITTEDFACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ❑TATTOOIBODY PIERCING Q POOLISPA ©LAND USE APPLICATION SITES <br /> ❑ MEDICAL WASTE FACILITY Q OTHER(PLEASE SPECIFY) j <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE roR REVIEW: MONDAY-FRIDAY 5:00 AM-5:00Pm(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the typo(s)of files from the list above by checking the appropriate <br /> box(es). At least one fila type MUST be selected: Fax to(2091464-0138 or mall_tc_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(1 D) <br /> days after receipt of application. The files will bB 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 maybe i <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by END staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$115 deposit prior to review. <br /> r <br /> S. if you need further assistance,please Contact Diane Martinez, at(209)468-3425. I <br /> Zf EHD USE ONLY <br /> eyo aaae afs�roe } <br />